Throughout this survey we will be using the abbreviation PD to represent Parkinson’s disease.

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* 1. Please indicate your gender. 

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* 2. Please select your age range.

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* 3. Which state do you reside in?

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* 4. Please indicate your affiliation with PAC.

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* 5. Which PAC programs and/or services do you currently participate in and/or have utilized? (Please select all options that apply.)

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* 6. How accessible do you feel that the programs in which you participate are to you? (If you would like to add any comments about the level of accessibility to our programs, please include them in the space provided under question 10.)

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* 7. How long have you been participating in PAC programs and/or services? (Please indicate the time frame in months and/or years.)

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* 8. How useful to you is the content and information that you receive from PAC's programs? (If you would like to add any comments about the level of usefulness of our program content, please include them in the space provided under question 10.)

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* 9. What would you like to learn more about, participate in, or experience more frequently? Please select all options that apply. (If you would like to add any comments about your specific areas of interest in our programs and/or other educational information and community resources, please include them in the space provided under question 10.)

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* 10. Please include any additional comments in the section below. You can help provide additional programming to the Carolinas by supporting PAC and it’s mission. Consider giving today. https://www.parkinsonassociation.org/donate-online/. Thank you!

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