* 1. Are you interested in being involved in the National Psoriasis Foundation - Northern California Division?

2. If you would like to be involved, what area of the Division would you most like to contribute? (check all that apply)

3. Are you interested in taking a leadership role on the Northern California Division Board?

4. If you'd like to take a leadership role, which area could you most see yourself contributing? (check all that apply)

5. Do you plan to join us in acknowledging World Psoriasis Day on Tuesday, October 29th in San Mateo?

6. Briefly explain why you'd like to be involved in the specific ways you indicated during this survey

* 7. Please confirm your name and the best email address for you, so we can stay in touch

8. Questions, Comments, or Concerns?