ALS Ice Bucket Challenge Progress
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A Three-Trophy Celebration Post Event Survey

Thank you for your participation in 'A Three-Trophy Celebration' on Tuesday evening, December 1, 2020. We would appreciate your feedback on the event below.

*1.


*2.


*3.


4.  


5.
Question - Not Required - Our mission priorities in research, care and advocacy are powered by thousands of people just like you! Please check any Chapter activities that might be of interest to you, your company, or organization in the future. A representative will contact you to provide additional information and answer questions:
Please make between 1 and 11 selections from the choices below.

6. Please provide your contact information:

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Name:

 

 

   

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What's this?

7.

   Please leave this field empty

     

A Three-Trophy Celebration Post Event Survey

Thank you for your participation in 'A Three-Trophy Celebration' on Tuesday evening, December 1, 2020. We would appreciate your feedback on the event below.

*1.


*2.


*3.


4.  


5.
Question - Not Required - Our mission priorities in research, care and advocacy are powered by thousands of people just like you! Please check any Chapter activities that might be of interest to you, your company, or organization in the future. A representative will contact you to provide additional information and answer questions:
Please make between 1 and 11 selections from the choices below.

6. Please provide your contact information:

*

Name:

 

 

   

*

 

 

What's this?

7.

   Please leave this field empty