National MS Society - Walk Event: Survey

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Walk MS 2009 Survey

Question - Not Required - What is your connection to MS?

	Child has MS
	Parent has MS
	Friend has MS
	Sibling has MS
	Spouse has MS
	I have MS
	None

Question - Not Required - At which Walk MS site did you participate?

Question - Not Required - How many years have you participated in Walk MS?

Question - Not Required - What prompted you to register for Walk MS?

	Radio Commercial
	TV Commercial
	Brochure
	Poster
	Newspaper Ad/Brochure Insertion
	Mailing from the Chapter
	Website
	E-mail
	Telerecruiting Phone Call

Question - Not Required - Were you a member of a team?

Question - Not Required - If so, what is the team name?

Question - Not Required - If you were not a member of a team, are you interested in forming a team next year?

Please rate the following on a scale of

1 = Needs Improvement 2 = Satisfactory 3 = Excellent

Question - Not Required - Website - Ease of online registration

Question - Not Required - Website - Ease of online pledging

10.

Question - Not Required - Website - Ability to find information

11.

Question - Not Required - Website - Personal/Team Pages

12.

Question - Not Required - Comments on website and online experience:

13.

Question - Not Required - Fundraising - Staff Support

14.

Question - Not Required - Fundraising - Manual

15.

Question - Not Required - Fundraising - Online Tools

16.

Question - Not Required - Day of Event - Registration

17.

Question - Not Required - Day of Event - Rest Stops

18.

Question - Not Required - Day of Event - Support (Vehicles, Medical, General Information, Volunteers)

19.

Question - Not Required - Day of Event - Route

20.

Question - Not Required - Comments on day of event:

21.

Question - Not Required - Customer Service - Before Walk MS

22.

Question - Not Required - Customer Service - During Walk MS

23.

Question - Not Required - Customer Service - After Walk MS

24.

Question - Not Required - Comments on customer service:

25.

Question - Not Required - What day of the week would you like to see Walk MS?

26.

Question - Not Required - Do you participate in other fundraising walks?

27.

Question - Not Required - If yes, which walk (s) and how does Walk MS compare?

28.

Question - Not Required - Would you be interested in participating in Challenge Walk MS (Three day, 50 mile walk)?

29.

Question - Not Required - Please provide any additional feedback that will help make Walk MS a continued success:

30.

Question - Not Required - Place of employment? (Optional)

31.

Question - Not Required - Would your company or another company with which you are familiar, be interested in becoming a sponsor for Walk MS 2010?

32.

Question - Not Required - If yes, please provide the company name and contact information.

33.

Question - Not Required - If you have access to your company newsletter or intranet, would you be wililng to post information about Walk MS 2010?

34.

Question - Not Required - If yes, please provide your e-mail address or phone number:

35.

Question - Not Required - We have volunteer committees in each walk city. Would you be interested in serving on a committee to help plan Walk MS 2010?

36.

Question - Not Required - If yes, how should we contact you? Please provide an e-mail address or phone number.

Optional information to share with the Wisconsin Chapter if you live with MS.

37.

Question - Not Required - As a result of participating in Walk MS, I feel less isolated by my MS.

38.

Question - Not Required - As a result of participating in Walk MS, I feel more empowered to deal with my MS.

39.

Question - Not Required - As a result of participating in Walk MS, I am more comfortable talking to others about my MS.

40.

Question - Not Required - As a result of participating in Walk MS, I learned at least one new thing about MS.

41.

Question - Not Required - As a result of participating in Walk MS, I had the oppurtunity to talk with other people living with MS.

42.

Question - Not Required - As a result of participating in Walk MS, I would be more willing to call the Wisconsin Chapter for information and/or assistance.

43.

Question - Not Required - As a result of participating in Walk MS, I would consider attending future National MS Society education programs.

44.

Question - Not Required - As a result of participating in Walk MS, I would refer other people to the National MS Society for educational programs or information.

45.

Please tell us about yourself. (Optional)

Name:

First Required	Last Required

Email:

Phone Number:

Yes, I would like to receive important email updates - including event announcements - from the National MS Society.

Yes, I would like to receive important postal mail updates - including event announcements - from the National MS Society.

Please enter a username and password that you can use when you return. You can use this password to update your information or receive personalized content.

*	Username: Required	5 to 60 characters
*	Password: Required	5 to 20 characters
*	Confirm Password: Required

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National MS Society · Wisconsin Chapter
1120 James Drive, Suite A, Hartland, WI 53029
800-242-3358 (toll free in Wisconsin) · 262-369-4400 · info@wisms.org
© 2009 The National Multiple Sclerosis Society, All Rights Reserved.
All registration fees and donations for this event are nonrefundable.