CPFF Hope Breathes Here Survey -              Pulmonary Fibrosis Month 2021
As we plan for September 2021 Pulmonary Fibrosis Month (Hope Breathes Here 2021) we want to hear your ideas so we can keep improving your experience and our content.

Please fill this quick survey and let us know your thoughts (your answers will be anonymous).
Sign in to Google to save your progress. Learn more
Based on your experience during last September's Pulmonary Fibrosis Month (Hope Breathes Here 2020), how likely are you to recommend Hope Breathes Here 2021 to a friend, family member, or healthcare professional?
Not very
Very much
Clear selection
Which Activities would you like to see again during September 2021 Pulmonary Fibrosis Month? (Hope Breathes Here 2021)
Do you have any other suggestions that would make Hope Breathes Here 2021 an even better experience?
Which Educational Session topics would you like to see for Hope Breathes Here 2021?
Are there other virtual activities you would suggest for Hope Breathes Here 2021?
Government official proclamations and monument lighting raise tremendous awareness for pulmonary fibrosis. Would you be willing to lobby local officials to help secure proclamations and monument lighting for September 2021? If so please enter your name and email address in the textbox below.
Name (optional)
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Etal Marketing. Report Abuse