The ALS Association Golden West Chapter

Total Number of Responses

Value

Count

Percent

I have lost a friend or loved one to ALS

22.7

I am a person with ALS

22.7

I am a friend or loved one of a person with ALS

18.2

I am affiliated with an organization that serves the ALS community

13.6

Other

13.6

I am a healthcare provider for people with ALS

9.1

Value

Count

Percent

68.2

Yes

31.8

Latest User Responses:

User Provided No Response

Team Jady

Latest User Responses:

User Provided No Response

I will be registering on my own

User Provided No Response

Latest User Responses:

User Provided No Response

1. Please fill in your personal information.

Total Number of Responses
22

2. What is your ALS connection?

Value	Count	Percent
I have lost a friend or loved one to ALS	5	22.7
I am a person with ALS	5	22.7
I am a friend or loved one of a person with ALS	4	18.2
I am affiliated with an organization that serves the ALS community	3	13.6
Other	3	13.6
I am a healthcare provider for people with ALS	2	9.1

3. Are you registered for a Walk team?

Value		Count		Percent
No		15		68.2
Yes		7		31.8

4. If yes to #3, please name the team here:

5. If No to #3 would you like us to register you? If so, please state Team name.

Latest User Responses:
User Provided No Response
User Provided No Response
I will be registering on my own
User Provided No Response
User Provided No Response

6. Do you have any questions or comments that you would like to share with us prior to the July 9th event?