Survey - ASK ME: ALS Research and Care in 2022 on Tuesday, February 1

ASK ME: ALS Research and Care in 2022 on Tuesday, February 1

Join us for our ASK ME educational webinar, "ALS Research and Care in 2022" on Tuesday, February 1 from 5:00 PM PT - 6:30 PM PT/3:00 PM HT - 4:30 PM HT to learn about the outcomes from our 12th Annual California ALS Research Summit and the future impact on care and research in 2022.

1.

Please fill in your personal information:

*

Name:

Title	First Required	Last Required

*

Email: Required

*

Street 1: Required

Street 2:

*

City/State/ZIP:

City Required	State Required	ZIP Required

*

Phone Number: Required

Employer:

Yes, I would like to receive important updates about this event from the Golden West Chapter

Keep me logged in. What's this?

*2.

Question - Required - What is your ALS connection?

3.

Question - Not Required - Do you have any questions or concerns about the topic you would like one of the speakers to answer or cover during their presentation?

(Maximum response 255 chars, approx. 5 rows of text)

4.

Question - Not Required - Is there anything else that you would like to tell us or any questions that you have about this event?