Alzheimer's Association, NYC Chapter- Walk to End Alzheimer's Volunteer Survey

The Alzheimer's Association is the leading voluntary health organization in Alzheimer's care, support and research. The mission of the Alzheimer's Association is to eliminate Alzheimer's disease through the advancement of research; to provide and enhance care and support for all affected; and to reduce the risk of dementia through brain health. Our vision is a world without Alzheimer's. To learn more, visit alz.org/nyc or call 800.272.3900, anytime. 

Held annually in more than 600 communities nationwide, the Alzheimer's Association Walk to End Alzheimer’s® is the world’s largest event to raise awareness and funds for Alzheimer’s care, support and research. This inspiring event calls on participants of all ages and abilities to join the fight against the disease!


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* 1. What is your first name?

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* 2. What is your last name?

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* 3. At what email address would you like to be contacted?

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* 4. What is your phone number?

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* 5. What is your Date of Birth?

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* 6. What is your T-Shirt Size?

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* 7. Are you CPR certified or have experience in healthcare/emergency services?

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* 8. Which Walk would you like to volunteer at?

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* 9. Have you volunteered at one of our walks before?

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* 10. If yes, When? Where? What was your volunteer role?

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* 11. Will you require proof of volunteering?

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* 12. Are you volunteering with an organization? If so, name of organization?

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* 13. Which volunteer role would you like to have?

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