ALS Ice Bucket Challenge Progress
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2019 Hawaii Walk Survey

1.


2.


3.


4.


5.
Question - Not Required - On a scale from 1 to 5, rate the Opening Ceremony.





6.

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

7.


8.
Question - Not Required - On a scale of 1 to 5 rate the route.





9.

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

10.
Question - Not Required - On a scale from 1 to 5, please rate the site layout.





11.

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

12.

13.


14. Potential sponsors like to have demographic information. Would you take a moment to update your gender and birthdate so that we can provide this information to future supporters? (We promise we will not tell anyone your age!)

*

Name:

 

 

 

 

       

*

 

 

Date of Birth:

 

If you respond and have not already registered, you will receive periodic updates and communications from The ALS Association.

 

 

What's this?

15.

   Please leave this field empty

     

2019 Hawaii Walk Survey

1.


2.


3.


4.


5.
Question - Not Required - On a scale from 1 to 5, rate the Opening Ceremony.





6.

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

7.


8.
Question - Not Required - On a scale of 1 to 5 rate the route.





9.

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

10.
Question - Not Required - On a scale from 1 to 5, please rate the site layout.





11.

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

12.

13.


14. Potential sponsors like to have demographic information. Would you take a moment to update your gender and birthdate so that we can provide this information to future supporters? (We promise we will not tell anyone your age!)

*

Name:

 

 

 

 

       

*

 

 

Date of Birth:

 

If you respond and have not already registered, you will receive periodic updates and communications from The ALS Association.

 

 

What's this?

15.

   Please leave this field empty