MS Awareness Month 2025/Shop Chats Feedback Survey Question Title * 1. Name (first and last) Question Title * 2. Email Question Title * 3. How did you learn about We Are ILL’s MS Awareness Month campaign, Shop Chats? We Are ILL’s newsletter We Are ILL’s website We Are ILL’s Instagram account We Are ILL’s Facebook account A friend/family member My hairstylist/salon Someone I follow on Instagram Other Question Title * 4. Name of Salon/Hairstylist (If you choose Salon/Hairstylist in Q3) Question Title * 5. Name of Instagram account (If you choose Instagram in Q3) Question Title * 6. Did you watch the panel discussion video? Yes No Question Title * 7. Did you read or receive the informational pamphlets? Yes No Question Title * 8. Prior to engaging with We Are ILL’s MS Awareness Month campaign, were you familiar with the organization? Yes No Question Title * 9. Before engaging with this campaign, how familiar were you with multiple sclerosis (MS)? Not familiar at all Somewhat familiar Very familiar After engaging with this campaign, how would you rate your understanding of the following topics? (Rate each on a scale of 1–5, where 1 = No understanding and 5 = Strong understanding) Question Title * 10. Symptoms and impact of MS Question Title * 11. Disparities in MS diagnosis and care in the Black community Question Title * 12. The role of organizations like ours in supporting people with MS Question Title * 13. Do you have a personal connection to multiple sclerosis (MS)? Yes No I’m not sure. Question Title * 14. What is your connection to MS? I’m living with MS. My child has MS. My parent has MS. My spouse/partner/significant other has MS. My family member/friend/loved one has MS. I’m a caregiver. I’m an industry professional or healthcare provider. Question Title * 15. Did you find the hair salon setting for the panel discussion relatable or impactful? Why or why not? Question Title * 16. On a scale of 1–5, how engaging did you find the panel discussion video? 1 = Not engaging at all, 5 Extremely Engaging Question Title * 17. Did the informational pamphlets provide clear and useful information? Yes No N/A — I didn't receive the pamphlet Somewhat (please explain): Question Title * 18. How relevant and informative did you find the content of We Are ILL’s MS Awareness Month campaign? Extremely relevant and informative Very relevant and informative Somewhat relevant and informative Not so relevant and informative Not at all relevant and informative Question Title * 19. As a result of this campaign, are you more likely to do any of the following? (Select all that apply): Talk to someone about MS Look for more information about MS Share campaign materials with others Seek support or resources related to MS None of the above Question Title * 20. Having engaged with this campaign, how likely are you to seek a second opinion or speak to a medical professional about your symptoms for a potential diagnosis? Extremely likely Very likely Somewhat likely Not so likely Not at all likely Question Title * 21. Do you feel more confident advocating for or supporting someone with MS after engaging with this campaign? Yes No I’m not sure Question Title * 22. After watching the panel discussion, do you feel more empowered to seek a healthcare provider that is a better fit for your needs? Yes, I feel more confident. I’m not sure, but I’ll consider it. No, I didn’t feel this was addressed. Question Title * 23. What is one thing you learned from this campaign that you didn’t know before? Question Title * 24. Do you have any additional feedback about the campaign? Question Title * 25. Do you currently live with any medical conditions? If so, please list the condition(s) below. Yes No Question Title * 26. Medical condition(s) you currently live with. Question Title * 27. What’s your age range? (multiple choice, required response) 18-24 25-34 35-44 45-54 55-64 65-80+ Question Title * 28. How would you describe your race or ethnicity? Please select all that apply. Black/African American Hispanic/Latino American Indian/Alaska Native Asian, Pacific Islander or Native Hawaiian White Some other race or ethnicity (please specify) Question Title * 29. Where are you located (please provide zip code)? Question Title * 30. Would you like to be added to We Are ILL’s mailing list? Yes No Done