MS Awareness Month 2025/Shop Chats Feedback Survey

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3. How did you learn about We Are ILL’s MS Awareness Month campaign, Shop Chats? (Required.)

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

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4. Name of Salon/Hairstylist (If you choose Salon/Hairstylist in Q3)

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5. Name of Instagram account (If you choose Instagram in Q3)

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6. Did you watch the panel discussion video? (Required.)

Yes

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7. Did you read or receive the informational pamphlets?

Yes

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8. Prior to engaging with We Are ILL’s MS Awareness Month campaign, were you familiar with the organization? (Required.)

Yes

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9. Before engaging with this campaign, how familiar were you with multiple sclerosis (MS)? (Required.)

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)

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10. Symptoms and impact of MS (Required.)

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11. Disparities in MS diagnosis and care in the Black community (Required.)

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12. The role of organizations like ours in supporting people with MS (Required.)

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13. Do you have a personal connection to multiple sclerosis (MS)? (Required.)

Yes

I’m not sure.

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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.

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15. Did you find the hair salon setting for the panel discussion relatable or impactful? Why or why not?

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16. On a scale of 1–5, how engaging did you find the panel discussion video? 1 = Not engaging at all, 5 Extremely Engaging

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17. Did the informational pamphlets provide clear and useful information?

Yes

N/A — I didn't receive the pamphlet

Somewhat (please explain):

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18. How relevant and informative did you find the content of We Are ILL’s MS Awareness Month campaign? (Required.)

Extremely relevant and informative

Very relevant and informative

Somewhat relevant and informative

Not so relevant and informative

Not at all relevant and informative

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19. As a result of this campaign, are you more likely to do any of the following? (Select all that apply): (Required.)

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

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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? (Required.)

Extremely likely

Very likely

Somewhat likely

Not so likely

Not at all likely

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21. Do you feel more confident advocating for or supporting someone with MS after engaging with this campaign? (Required.)

Yes

I’m not sure

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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.

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23. What is one thing you learned from this campaign that you didn’t know before?

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24. Do you have any additional feedback about the campaign?

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25. Do you currently live with any medical conditions? If so, please list the condition(s) below. (Required.)

Yes

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26. Medical condition(s) you currently live with.

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27. What’s your age range? (multiple choice, required response) (Required.)

18-24

25-34

35-44

45-54

55-64

65-80+

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28. How would you describe your race or ethnicity? Please select all that apply. (Required.)

Black/African American

Hispanic/Latino

American Indian/Alaska Native

Asian, Pacific Islander or Native Hawaiian

White

Some other race or ethnicity (please specify)

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29. Where are you located (please provide zip code)? (Required.)

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30. Would you like to be added to We Are ILL’s mailing list? (Required.)

Yes

MS Awareness Month 2025/Shop Chats Feedback Survey

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* 1. Name (first and last)

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* 2. Email

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* 3. How did you learn about We Are ILL’s MS Awareness Month campaign, Shop Chats? (Required.)

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* 4. Name of Salon/Hairstylist (If you choose Salon/Hairstylist in Q3)

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* 5. Name of Instagram account (If you choose Instagram in Q3)

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* 6. Did you watch the panel discussion video? (Required.)

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* 7. Did you read or receive the informational pamphlets?

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* 8. Prior to engaging with We Are ILL’s MS Awareness Month campaign, were you familiar with the organization? (Required.)

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* 9. Before engaging with this campaign, how familiar were you with multiple sclerosis (MS)? (Required.)

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* 10. Symptoms and impact of MS (Required.)

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* 11. Disparities in MS diagnosis and care in the Black community (Required.)

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* 12. The role of organizations like ours in supporting people with MS (Required.)

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* 13. Do you have a personal connection to multiple sclerosis (MS)? (Required.)

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* 14. What is your connection to MS?

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* 15. Did you find the hair salon setting for the panel discussion relatable or impactful? Why or why not?

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* 16. On a scale of 1–5, how engaging did you find the panel discussion video? 1 = Not engaging at all, 5 Extremely Engaging

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* 17. Did the informational pamphlets provide clear and useful information?

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* 18. How relevant and informative did you find the content of We Are ILL’s MS Awareness Month campaign? (Required.)

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* 19. As a result of this campaign, are you more likely to do any of the following? (Select all that apply): (Required.)

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* 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? (Required.)

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* 21. Do you feel more confident advocating for or supporting someone with MS after engaging with this campaign? (Required.)

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* 22. After watching the panel discussion, do you feel more empowered to seek a healthcare provider that is a better fit for your needs?

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* 23. What is one thing you learned from this campaign that you didn’t know before?

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* 24. Do you have any additional feedback about the campaign?

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* 25. Do you currently live with any medical conditions? If so, please list the condition(s) below. (Required.)

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* 26. Medical condition(s) you currently live with.

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* 27. What’s your age range? (multiple choice, required response) (Required.)

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* 28. How would you describe your race or ethnicity? Please select all that apply. (Required.)

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* 29. Where are you located (please provide zip code)? (Required.)

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* 30. Would you like to be added to We Are ILL’s mailing list? (Required.)

1. Name (first and last)

2. Email

3. How did you learn about We Are ILL’s MS Awareness Month campaign, Shop Chats? (Required.)

4. Name of Salon/Hairstylist (If you choose Salon/Hairstylist in Q3)

5. Name of Instagram account (If you choose Instagram in Q3)

6. Did you watch the panel discussion video? (Required.)

7. Did you read or receive the informational pamphlets?

8. Prior to engaging with We Are ILL’s MS Awareness Month campaign, were you familiar with the organization? (Required.)

9. Before engaging with this campaign, how familiar were you with multiple sclerosis (MS)? (Required.)

10. Symptoms and impact of MS (Required.)

11. Disparities in MS diagnosis and care in the Black community (Required.)

12. The role of organizations like ours in supporting people with MS (Required.)

13. Do you have a personal connection to multiple sclerosis (MS)? (Required.)

14. What is your connection to MS?

15. Did you find the hair salon setting for the panel discussion relatable or impactful? Why or why not?

16. On a scale of 1–5, how engaging did you find the panel discussion video? 1 = Not engaging at all, 5 Extremely Engaging

17. Did the informational pamphlets provide clear and useful information?

18. How relevant and informative did you find the content of We Are ILL’s MS Awareness Month campaign? (Required.)

19. As a result of this campaign, are you more likely to do any of the following? (Select all that apply): (Required.)

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? (Required.)

21. Do you feel more confident advocating for or supporting someone with MS after engaging with this campaign? (Required.)

22. After watching the panel discussion, do you feel more empowered to seek a healthcare provider that is a better fit for your needs?

23. What is one thing you learned from this campaign that you didn’t know before?

24. Do you have any additional feedback about the campaign?

25. Do you currently live with any medical conditions? If so, please list the condition(s) below. (Required.)

26. Medical condition(s) you currently live with.

27. What’s your age range? (multiple choice, required response) (Required.)

28. How would you describe your race or ethnicity? Please select all that apply. (Required.)

29. Where are you located (please provide zip code)? (Required.)

30. Would you like to be added to We Are ILL’s mailing list? (Required.)