We're counting on you!

*1.

Question - Required - Which of the following best describes you?

I have ALS

I am a Spouse/Significant Other of a person with ALS

I am a Daughter/Son of a person with ALS

I am a Parent of a person with ALS

I am a Relative of a person with ALS

I am a Caregiver (unrelated) of a person with ALS

I am a Healthcare Provider of a person with ALS

I am a Coworker of a person with ALS

I am a Friend of a person with ALS

I am a Student of a person with ALS

I am an Interested Party in the ALS cause

*2.

Question - Required - Are you a new or returning walker?

*3.

Question - Required - Did you register online through the Walk Website?

4.

Question - Not Required - If you answered YES to question #3, do you have any suggestions for the registration process or did you have any issues we can improve upon next year?

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

*5.

Question - Required - I saw/heard the Walk advertised...
Please make at least 1 selection from the choices below.

	Radio
	TV
	Billboard
	Newspaper
	Lawn Sign
	Google Search
	Chapter Website
	Team Captain
	Workplace
	Social Media
	Posters
	ALS Staff Member
	Email from ALSA

6.

Question - Not Required - Did you participate in Team Week challenges?

7.

Question - Not Required - How did you hear about the Team Week challenges?

Email

Facebook

Team Captain

8.

Question - Not Required - What was your favorite item in the walk kit?

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

9.

Question - Not Required - What was your least favorite item in the walk kit?

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

10.

Question - Not Required - Did you watch the opening ceremonies?

11.

Question - Not Required - If yes, how did you watch the opening ceremonies?

Facebook

YouTube

12.

Question - Not Required - Did you hit your fundraising goal?

13.

Question - Not Required - How can we help you hit your goal before November?

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

*14.

Question - Required - Will you return to the Walk next year?

15.

Question - Not Required - Would you be interested in post walk fundraising challenges to help us reach the $124,000 goal for patient care, research, and advocacy?

16.

Question - Not Required - I would like to be more involved next year by:

	Volunteering on Walk Day
	Being a member of the Walk Committee
	Donating a Basket for the Raffle
	Donating Food on Walk Day
	Purchasing signs that advertise the Walk in my neighborhood
	Hanging posters to promote the walk

17.

Question - Not Required - If you would like to participate on the Walk Committee next year, please provide your phone number or email address

18.

Question - Not Required - Do you know a company that may be interested in Sponsoring the Walk? If yes, please provide company name and your contact information below.

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

19.

Question - Not Required - Would you be interested in donating a raffle basket for Casino Night in October?

20.

Question - Not Required - If you answered yes, what is the best number to contact you?

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

21.

Question - Not Required - What advice would you give to our Pittsburgh Walk teams who are hosting mini-walk events?

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

2020 Johnstown Walk to Defeat ALS