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* 1. Please enter your name and contact information, so we can follow up with you.

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* 2. How satisfied are you with your overall experience with Operation Access?

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* 3. How do you feel about the frequency of your participation with OA?

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* 4. Do you see yourself volunteering with OA one year from now?

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* 5. How can your volunteer experience be improved? (Check all that apply and specify below)

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* 6. How can Operation Access better take advantage of your skills and talents?

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* 7. What are your motivations for volunteering with Operation Access? We may want to use your quotes in our newsletter or website. For example: "I volunteer with Operation Access because...."

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* 8. Are you interested in helping to recruit others to volunteer with OA?

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* 9. Operation Access requires sustained funding to be successful, and we are seeking new grant and funding opportunities. Are you interested in helping to identify and reach out to funding prospects?

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* 10. Are you interested in being involved to help strengthen OA’s impact and sustainability, through a role on the Advisory Council or Board of Directors?

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* 11. We would like to profile meaningful stories about volunteers and patients. Please share a story about a memorable experience you've had. 

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* 12. If you have any additional comments about your experience with OA or have ideas as to how we can make it more meaningful, please share them here.

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* 13. If you would like to make us aware of any updated contact information, please write below.

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* 14. Would you like an OA staff member to contact you?

You are always welcome to call us at (415) 733-0052.

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