2010 Walk MS
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1. Default Section
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1
. Which 2010 Walk MS event did you participate in?
Which 2010 Walk MS event did you participate in?
Akron
Athens
Cleveland
Columbus
Lancaster
Mahoning Valley
Massillon
Mentor
McConnelsville
Newark
North Canton
Wooster
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2
. Was this your first Walk MS event?
Was this your first Walk MS event?
Yes
No
3
. If you answered No to question 2, how many Walk MS events have you participated in?
If you answered No to question 2, how many Walk MS events have you participated in?
4
. Have you participated in any other Walk MS sites in the past? If yes, please list the other site(s) where you have walked.
Have you participated in any other Walk MS sites in the past? If yes, please list the other site(s) where you have walked.
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5
. How far did you travel to attend Walk MS?
How far did you travel to attend Walk MS?
0-10 Miles
11-25 Miles
26-50 Miles
More than 50 Miles
6
. What do you think is the most important part of a Walk MS event?
What do you think is the most important part of a Walk MS event?
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7
. I participate in Walk MS because of the:
Strongly Agree
Agree
Disagree
Stongly Disagree
Large Amount of Food
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I participate in Walk MS because of the: Large Amount of Food Strongly Agree
Large Amount of Food Agree
Large Amount of Food Disagree
Large Amount of Food Stongly Disagree
Entertainment
Entertainment Strongly Agree
Entertainment Agree
Entertainment Disagree
Entertainment Stongly Disagree
Personal Fitness
Personal Fitness Strongly Agree
Personal Fitness Agree
Personal Fitness Disagree
Personal Fitness Stongly Disagree
Walk MS Venue
Walk MS Venue Strongly Agree
Walk MS Venue Agree
Walk MS Venue Disagree
Walk MS Venue Stongly Disagree
Time Spent with Family and Friends
Time Spent with Family and Friends Strongly Agree
Time Spent with Family and Friends Agree
Time Spent with Family and Friends Disagree
Time Spent with Family and Friends Stongly Disagree
MS Mission
MS Mission Strongly Agree
MS Mission Agree
MS Mission Disagree
MS Mission Stongly Disagree
Fun I have
Fun I have Strongly Agree
Fun I have Agree
Fun I have Disagree
Fun I have Stongly Disagree
8
. What are some things you like best about your Walk MS site that you would like to see us continue in 2011?
What are some things you like best about your Walk MS site that you would like to see us continue in 2011?
9
. Please give us suggestions on things we can change at your Walk MS site to enhance your experience for 2011.
Please give us suggestions on things we can change at your Walk MS site to enhance your experience for 2011.
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10
. What is your connection to MS? Please check all that apply.
What is your connection to MS? Please check all that apply.
I have MS
I have a family member with MS
I have a friend with MS
I have a co-worker with MS
I do not have a connection to MS
Other (please specify)
11
. How did you hear about Walk MS? Please check all that apply.
How did you hear about Walk MS? Please check all that apply.
Family Member/Friend/Co-Worker
Radio
Mail
Television
National MS Society Local Office
Newspaper
Walk MS Brochure or Poster
National MS Society Website
Billboard
Email
Doctor's Office
Facebook
Online Ad
Other (please specify)
12
. How did you fundraise for Walk MS? Please check all that apply.
How did you fundraise for Walk MS? Please check all that apply.
Sent Personal Emails
Through Social Networking (Facebook, Twitter)
Used the National MS Society Email Tools and Participant Center
Wrote Letters
In Person Asks
Hosted A Private Event (Restaurant Fundraiser, Wine Tasting)
Other (please specify)
13
. What barriers did you face when trying to fundraise for Walk MS?
What barriers did you face when trying to fundraise for Walk MS?
14
. Have you participated in any of the following MS Society programs or events? Please check all that apply.
Have you participated in any of the following MS Society programs or events? Please check all that apply.
Bike MS
Dinner of Champions
Women's Luncheon
Walleye Fishing Tournament
Just Cure It
Run MS
Moving Forward Program
Social Program
Educational Program (Couples Retreat, Family Communication, etc.)
Teleconference
I have not participated in any other MS Society event or program
Other (please specify)
15
. Have you ever participated in any of the following non-profit events? Please check all that apply.
Have you ever participated in any of the following non-profit events? Please check all that apply.
Susan G. Komen Race for the Cure
Making Strides for Breast Cancer Walk
American Heart Association Heart Walk
Walk for Diabetes
March of Dimes Walk
Relay for Life
Autism Speaks Walk
Other (please specify)
16
. If you checked any reponses above, please tell us what you enjoyed about those events that you feel Walk MS is lacking.
If you checked any reponses above, please tell us what you enjoyed about those events that you feel Walk MS is lacking.
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17
. What is your gender?
What is your gender?
Female
Male
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18
. What is your age?
What is your age?
Under 18
18-24
25-34
35-44
45-54
55-64
65 and over
19
. What is your marital status?
What is your marital status?
Single
Married
20
. What is your ethnic background?
What is your ethnic background?
Caucasian
Hispanic
African American
Asian
Multiracial
Native American
Other (please specify)
21
. Do you have children?
Do you have children?
Yes
No
22
. If you answered yes to question 20, do your children participate in Walk MS with you?
If you answered yes to question 20, do your children participate in Walk MS with you?
Yes
No
23
. What are your children's ages? Please check all that apply.
What are your children's ages? Please check all that apply.
Under 5
5-9
10-14
15-17
18 and older
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24
. If available, would you participate in Walk MS in 2011?
If available, would you participate in Walk MS in 2011?
Yes
No
25
. If you answered no to the question above, please tell us why.
If you answered no to the question above, please tell us why.
26
. Please list any additional comments here.
Please list any additional comments here.
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