Let us help connect you to support. We offer a variety of ways that you can get support through our programming.

Question Title

* 1. Contact Information

Question Title

* 2. Please tell us your time zone.

Question Title

* 3. What time of day is best to connect with you? Check all that apply.

Question Title

* 4. What day of the week is best to connect with you? Check all that apply.

Question Title

* 5. I am interested in getting support by (check all that apply):

Question Title

* 6. I am a:

Question Title

* 7. MG Patient Year of Diagnosis

Question Title

* 8. Patient Year of Birth

Question Title

* 9. Do you have any physical needs that require special arrangements?

Question Title

* 10. MG Type

Question Title

* 11. MG Status (Check all that apply)

Question Title

* 12. What is the best way to communicate with you? Check all that apply.

Question Title

* 13. What is your primary language?

Question Title

* 14. Anything else you'd like to share?

T