Celebrating 20 Years & Counting of ASNA - IMPACT SURVEY
This year on 1st December 2021 ASNA is celebrating 20 years & counting! To launch our celebrations we'd love to hear from you about the impact of ASNA's work on your life, plus any stories you'd be willing to share.

Below is just a few questions for you to answer, they should take around five to ten minutes to complete. So pour yourself a cuppa and let us know the impact ASNA's work has had on your life, plus what you'd like to see from us in the future!

Once you're done, please feel free to share this report with anyone you can think of who has been impacted by ASNA's work, we'd love to hear their stories too!
Sign in to Google to save your progress. Learn more
How do you know about ASNA? *
How long have you known about ASNA? *
Do you have a disability? If so, please specify. *
Do you care for somebody with a disability? If so, please specify. *
Please let us know your relationship to the person you care for.
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy