UPDATE YOUR INFORMATION Survey

Please note, required fields are marked with an asterisk *

1.Primary Email Address

2.First and Last Name(Required.)

First Name

Last Name

3.Zip Code

4.Address and Phone

Address

City/Town

State/Province

Phone Number

5.Birth Date

6.How would you most like to receive additional information regarding our organization?
Please select all that apply.

Email

Phone

Snail Mail

Other (please specify)

7.What type of news would you like to see from us? Please select all that apply.

Programs (in-person and online)

Events Fundraising

eNews

8.Please rate our communication level.

Too Often

Just Right

Too Little

Other (please specify)

9.How did you hear about Can Do Multiple Sclerosis?

Other (please specify)

10.Please select any programs, events you have participated with us in the past? Please select all that apply.

Third-Party Event/Other (please specify)

11.Do you have any other communication requests?

UPDATE YOUR INFORMATION