Survey - 2021 Johnstown Post Walk Survey - The ALS Association Western Pennsylvania Chapter

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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

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

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

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)

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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

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

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

Email

Facebook

Team Captain

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

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

Facebook

YouTube

Question - Not Required - What was your favorite item in the walk kit?
Please make between 1 and 3 selections from the choices below.

	Pom Poms
	Noise makers
	Sidewalk chalk
	Bubbles
	Photo booth props
	Red cups
	Lanyards
	"I walk for" stickers
	Car magnet
	Red ribbon
	Paper keys and twine

Question - Not Required - What was your LEAST favorite item in the walk kit?
Please make between 1 and 3 selections from the choices below.

	Pom Poms
	Noise makers
	Sidewalk chalk
	Bubbles
	Photo booth props
	Red cups
	Lanyards
	"I walk for" stickers
	Car magnet
	Red ribbon
	Paper keys and twine

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

Question - Not Required - Would you be interested in post walk fundraising challenges to further support patient care, research, and advocacy?

Question - Not Required - Would you be interested in donating an auction item for the Community Cares Auction on October 14th to boost your Walk fundraising? (Ex: autographed item, vacation stay, local experience, etc.)

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

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

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Question - Required - Next year, we plan to resume in-person events. Will you return to the Walk in 2022?

Question - Not Required - Would you like to see a "Walk Your Way" option for teams even after we return to in person events?

Question - Not Required - What color should our Walk t-shirt be in 2022?

Black

Light Blue

White

Red

Golden Yellow

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

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

Question - Not Required - What would you like to see at the in person Walk in 2022?

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)

Question - Not Required - Please share with us any additional comments or suggestions.