2017 Liver Life Challenge Survey Question Title * 1. Please share your contact information First & Last Name City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Email Address Phone Number Question Title * 2. What is your connection to liver disease? I have liver disease I had liver disease I am a liver transplant recipient I am a living donor I am a donor family member I have a family member with liver disease I have a friend with liver disease I am in the health care field I am in the pharmaceutical industry General interest in liver wellness None Question Title * 3. Have you fund raised for the American Liver Foundation in the past (Liver Life Walk, Liver Life Challenge, Make a Difference, etc.)? Yes No Question Title * 4. Did you know that the American Liver Foundation has an endurance program (Liver Life Challenge)? Yes No Question Title * 5. Have you run on a Liver Life Challenge team in the past? Events may have included the Boston, NYC or Chicago Marathon, Walt Disney World Marathon, NYC Half Marathon, etc. Yes No Question Title * 6. Which race distances and/or types would you be most interested in? (Select all that apply) Full marathon Half marathon 5K/10K Triathlon Mud Run/Obstacle Course Other (please specify) Question Title * 7. In 2017 we have teams participating in the NYC Half Marathon, Boston Marathon, Chicago Marathon, NYC Marathon, Shamrock Shuffle (Chicago), Colfax Marathon, MCRD Bootcamp Challenge (San Diego) and Falmouth Road Race (Massachusetts). Are there events not offered, that you would like to see? Yes No If Yes, please list the race names: Question Title * 8. In 2018 would you be interested in running a Rock N' Roll Half or Full Marathon to benefit the ALF (fundraising minimum would apply)? Yes No Maybe Question Title * 9. Would you be interested in international race options? Yes No If yes, please list the race names: Question Title * 10. Liver Life Challenge teams have required fundraising minimums. Please share how much you would be willing to raise based off the race distance. $750 $1,000 $2,500 $5,000+ All fundraising options listed are too high. 5K/10K 5K/10K $750 5K/10K $1,000 5K/10K $2,500 5K/10K $5,000+ 5K/10K All fundraising options listed are too high. Half Marathon Half Marathon $750 Half Marathon $1,000 Half Marathon $2,500 Half Marathon $5,000+ Half Marathon All fundraising options listed are too high. Full Marathon Full Marathon $750 Full Marathon $1,000 Full Marathon $2,500 Full Marathon $5,000+ Full Marathon All fundraising options listed are too high. Triathlon Triathlon $750 Triathlon $1,000 Triathlon $2,500 Triathlon $5,000+ Triathlon All fundraising options listed are too high. Mud Run/Obstacle Course Mud Run/Obstacle Course $750 Mud Run/Obstacle Course $1,000 Mud Run/Obstacle Course $2,500 Mud Run/Obstacle Course $5,000+ Mud Run/Obstacle Course All fundraising options listed are too high. Question Title * 11. Liver Life Challenge team members receive benefits, please rank the importance of each benefit listed: Not Important Somewhat Important Important Very Important No Opinion Virtual Training Program Virtual Training Program Not Important Virtual Training Program Somewhat Important Virtual Training Program Important Virtual Training Program Very Important Virtual Training Program No Opinion Local Training Program (Includes team runs) Local Training Program (Includes team runs) Not Important Local Training Program (Includes team runs) Somewhat Important Local Training Program (Includes team runs) Important Local Training Program (Includes team runs) Very Important Local Training Program (Includes team runs) No Opinion ALF Branded Running Top ALF Branded Running Top Not Important ALF Branded Running Top Somewhat Important ALF Branded Running Top Important ALF Branded Running Top Very Important ALF Branded Running Top No Opinion ALF Branded Training Shirt ALF Branded Training Shirt Not Important ALF Branded Training Shirt Somewhat Important ALF Branded Training Shirt Important ALF Branded Training Shirt Very Important ALF Branded Training Shirt No Opinion Fundraising Prizes Fundraising Prizes Not Important Fundraising Prizes Somewhat Important Fundraising Prizes Important Fundraising Prizes Very Important Fundraising Prizes No Opinion Covered travel and hotel expenses Covered travel and hotel expenses Not Important Covered travel and hotel expenses Somewhat Important Covered travel and hotel expenses Important Covered travel and hotel expenses Very Important Covered travel and hotel expenses No Opinion Is there a benefit not listed that you would like to see offered? Please share. Question Title * 12. If the cost of travel and hotel expenses being paid for by ALF is important to you, would you commit to a higher fundraising minimum to ensure this benefit is offered? Yes No This benefit is not important to me Done
