ALS Association Blog Satisfaction Survey Image Your feedback is very important to us. All answers are optional and information you provide is completely anonymous and confidential. What is your age?Please select... Under 18 18-24 25-34 35-44 45-54 55-64 65 or over Are you:Please select... Male Female Other or Prefer Not to Answer Have you been personally impacted by ALS?Please select... Yes No If so, how?Please select... I have ALS I am or was a caregiver I have or had a family member with ALS I have or had a friend with ALS Other How often do you read online blogs?Please select... Everyday Sometimes Rarely Never Have you subscribed to our blog to receive email notifications?Please select... Yes No How satisfied are you with the content we share on our blogPlease select... 1 – Not Satisfied 2 3 4 5 – Very Satisfied What do you like most about our blog content? What do you like least about our blog content? What information or stories would you like to be included on our blog in the future? If you would like to talk with someone from our team about sharing your ALS story, please provide us with your full name and email address. Contact Information
