Georgia Chapter Survey Copy of page: Question Title * 1. How long have you been involved with Cure SMA? Less than one year 1-3 years 4-5 years 5-10 years longer than 10 years Question Title * 2. Would you be willing to lead a committee for the Georgia Chapter? Yes No Comments: Question Title * 3. If you answered YES to Question #2, please select which committee(s) you would be willing to lead and why. Family Support Fundraising Communications Community Outreach Why: Question Title * 4. If you answered NO to Question #2, would you be willing to volunteer for a chapter committee and if so, which one(s)? Yes No Please list all of the committee(s) you would be willing to serve on from these options: Family Support, Fundraising, Communications and/or Community Outreach. Question Title * 5. What is your connection to SMA? I have SMA My child has SMA I lost a child to SMA I am a relative (grandparent, aunt, uncle) of someone with SMA I am a friend of someone with SMA Other Question Title * 6. If you answered yes to either becoming a chapter committee lead or serving on a committee, please provide the following information so that we can contact you about next steps. First Name Last Name Email Address Phone Question Title * 7. Additional Comments: Done
