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* 1. Please enter your name and contact information.

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

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* 3. What is your birthday? (Month/ Day)

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

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

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

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

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* 8. How can Operation Access better utilize your skills and talents?

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

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* 10. 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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* 11. We are currently seeking new board members. 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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* 12. We would like to profile meaningful stories about volunteers and patients. Please share your motivations for volunteering with OA, and let us know if you have an inspiring story to share about one of your OA patients. We can follow up with you to learn more.

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* 13. 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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* 14. Would you like an OA staff member to contact you about your feedback?


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