JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Welcome! Please Introduce Yourself!
I've been asked about my followers... hoping you can help... And to thank you for all of your support through these first years.... You've been the
best
and I want to know more about you. Please only fill out the questionnaire once and thank you again!
* Indicates required question
Email
*
Your email
First Name (not required)
Your answer
Would you like to receive a newsletter from The Foundation for Casey's Cure?
*
Yes
No
If yes, please provide your email address. ( They're only sent quarterly and they're pretty fun to read...)
Your answer
What motivated you to follow CaseysCureMD?
*
Work with her
We're friends
You have a rare disease
You have muscular dystrophy
You have HMERF muscular dystrophy
You have a family member who has a rare disease
Other:
What state do you live in? (2 letter abbreviation please)
*
Your answer
Do you follow CaseysCureMD on FB, IG, Linked In, or another platform?
Facebook
Instagram
Linked In
Other
How old are you?
*
Under 18
18-30
30-55
55-65
Over 65
We're looking for volunteers. Needed : Lawyer, web person, SM person, graphic designer, marketing writer, event planner... If you have a skill that you would volunteer, please list it below. Many thanks!! (If not, please enter N/A.)
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
