APPEAL Member Needs Assessment Survey

Thank you for taking the time to fill out the following questions; this survey should take you no more than 15 minutes to complete.

This survey is to help APPEAL gather current information about our community partners and the needs and priorities of the APPEAL network. APPEAL would also like to know how we can better serve our network members. Please, have the person most familiar with APPEAL's activities fill out the survey; only one survey per organization. All information gathered from this survey will be kept confidential. If you have any questions while completing this survey please call Gillian Asido at 510-272-9536 ext. 104. Thank you in advance for your support.

Please provide us with your current contact information.

Please provide us with your current contact information. Name:
Organization:
Address:

City/Town:
State/Province:
ZIP/Postal Code:
Country:
Email Address:
Phone Number: