Survey - FY21 Post Event Walk Survey Template

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FY21 Post Event Walk Survey Template

*1.

How did you hear about the LUNG FORCE Walk?

(Select one of the available choices or enter a different value.)
Question - Required -How did you hear about the LUNG FORCE Walk? Click this to indicate that you will select an existing value. Tab to next input." How did you hear about the LUNG FORCE Walk?
How did you hear about the LUNG FORCE Walk? Click this to indicate that you will enter a new value. Tab to next input." How did you hear about the LUNG FORCE Walk? Provide your answer here

*2.

Question - Required - Have you participated in past American Lung Association Events?

*3.

Question - Required - What were your motivations for participating in this event? (Check all that apply)

	To support a good cause
	To support a loved one with lung disease or lung cancer
	To honor the memory of a loved one
	I have been touched by lung disease or lung cancer
	My company participated
	The swag was appealing

*4.

Question - Required - If you chose "other" in the question above, please provide your answer here:

*5.

Question - Required - Did you attend any of our virtual events? (Check all that apply)

	Kickoff
	Virtual Ceremony
	No

6.

Question - Not Required - If yes, please tell us what you liked about the event; if no, was there a reason you didn't attend or view our live event:

*7.

Question - Required - In reference to the LUNG FORCE phone app what did you find helpful?

*8.

Question - Required - In reference to the LUNG FORCE phone app what did you NOT find helpful?

*9.

Question - Required - Did you participate in any of the Virtual Action Passport challenges?

10.

Question - Not Required - If yes, what about the challenge did you enjoy the most; if no, why did you not participate?

*11.

Question - Required - Given the opportunity how likely are you to participate in this event again?

*12.

Question - Required - What is your age?

*13.

As what gender do you identify?

(Select one of the available choices or enter a different value.)
Question - Required -As what gender do you identify? Click this to indicate that you will select an existing value. Tab to next input." As what gender do you identify?
As what gender do you identify? Click this to indicate that you will enter a new value. Tab to next input." As what gender do you identify? Provide your answer here

*14.

Please specify your race/ethnicity:

(Select one of the available choices or enter a different value.)
Question - Required -Please specify your race/ethnicity: Click this to indicate that you will select an existing value. Tab to next input." Please specify your race/ethnicity:
Please specify your race/ethnicity: Click this to indicate that you will enter a new value. Tab to next input." Please specify your race/ethnicity: Provide your answer here

*15.

What is the highest degree or level of school have you completed?

(Select one of the available choices or enter a different value.)
Question - Required -What is the highest degree or level of school have you completed? Click this to indicate that you will select an existing value. Tab to next input." What is the highest degree or level of school have you completed?
What is the highest degree or level of school have you completed? Click this to indicate that you will enter a new value. Tab to next input." What is the highest degree or level of school have you completed? Provide your answer here

*16.

Question - Required - What is your household income?

*17.

Question - Required - Please enter the words below:

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