Northern Ohio
Chapter
2019 Tiffin Walk Survey
*
1.
How did you like the date of this year's Walk (month and weekend)?
(Select one of the available choices or enter a different value.)
Question - Required -
How did you like the date of this year's Walk (month and weekend)? Click this to indicate that you will select an existing value. Tab to next input."
How did you like the date of this year's Walk (month and weekend)?
Select
I would have liked it on a earlier date.
I would have liked it on a later date.
I liked the date the Walk was on this year.
How did you like the date of this year's Walk (month and weekend)? Click this to indicate that you will enter a new value. Tab to next input."
How did you like the date of this year's Walk (month and weekend)? Provide your answer here
*
2.
Question - Required -
How do you rate the Walk venue?
1-Worst
2-Poor
3-Neutral
4-Good
5-Best
N/A
*
3.
Question - Required -
How do you rate the parking?
1-Worst
2-Poor
3-Neutral
4-Good
5-Best
N/A
*
4.
Question - Required -
How do you rate the Walk Day registration/check-In?
1-Worst
2-Poor
3-Neutral
4-Good
5-Best
N/A
*
5.
Question - Required -
How do you rate the assistance from volunteers?
1-Worst
2-Poor
3-Neutral
4-Good
5-Best
N/A
*
6.
Question - Required -
How do you rate the assistance from chapter staff?
1-Worst
2-Poor
3-Neutral
4-Good
5-Best
N/A
*
7.
Question - Required -
How do you rate the Walk entertainment?
1-Worst
2-Poor
3-Neutral
4-Good
5-Best
N/A
*
8.
Question - Required -
How do you rate the Walk route?
1-Worst
2-Poor
3-Neutral
4-Good
5-Best
N/A
*
9.
Question - Required -
How do you rate the time of the event?
1-Worst
2-Poor
3-Neutral
4-Good
5-Best
N/A
*
10.
Question - Required -
I will commit to participating in the Walk to Defeat ALS next year.
Yes
No
I would like to, but it depends on the date.
I would like to, but it depends on the location.
I would like to, but it depends on the date AND location.
*
11.
Please tell us about your experience using the online Walk tool.
(Select one of the available choices or enter a different value.)
Question - Required -
Please tell us about your experience using the online Walk tool. Click this to indicate that you will select an existing value. Tab to next input."
Please tell us about your experience using the online Walk tool.
Select
I used the online tools and found them easy to use.
I did not use online tools.
I had difficulty, but the Chapter staff was able to help me.
I had difficulty, and did not seek help.
I had difficulty, but was able to figure it out using the Walker Handbook and/or other published tools.
I had difficulty, and no one was able to assist me properly.
Please tell us about your experience using the online Walk tool. Click this to indicate that you will enter a new value. Tab to next input."
Please tell us about your experience using the online Walk tool. Provide your answer here
*
12.
Question - Required -
I want to be more involved by...
Volunteering on Walk Day or at another Walk to Defeat ALS event
Asking my company to get involved
Having a larger team
Raising more money
Participating in other chapter events
I am satisfied with my current level of involvement with the Walk to Defeat ALS
13.
Question - Not Required -
**For Patients or Caregivers Only: Was the route easy to navigate?
Select
Yes
No
*
14.
I saw/heard the Walk advertised on...
(Select one of the available choices or enter a different value.)
Question - Required -
I saw/heard the Walk advertised on... Click this to indicate that you will select an existing value. Tab to next input."
I saw/heard the Walk advertised on...
Select
Radio
TV
Facebook
Twitter
Posters
Brochures/Flyers
Word of Mouth
School
Workplace
ALSA Support/Caregiver Meeting
ALSA Staff
I was recruited by my team captain
I was recruited by another team member
I saw/heard the Walk advertised on... Click this to indicate that you will enter a new value. Tab to next input."
I saw/heard the Walk advertised on... Provide your answer here
15.
Question - Not Required -
Please list any additional comments about the Walk to Defeat ALS.
16.
Question - Not Required -
May we contact you to hear more about your experience? If so, please enter your name.
17.
Question - Not Required -
Email Address
18.
Question - Not Required -
Phone Number
Spam Control Text:
Please leave this field empty
