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1. Please complete the information below:
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2. What type of participant are you?
Total Number of Responses 23 |
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3. What is your Walk MS site (please include city)?
Latest User Responses: |
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Portland, OR
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Eugene - https://secure3.convio.net/nmss
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Vanvouer WA
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Vancouver wa
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Salem
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View All Responses for question #3
4. Please list your Team's name (if applicable):
Latest User Responses: |
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User Provided No Response
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TEAM WELLS
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User Provided No Response
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Dr PMS
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User Provided No Response
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View All Responses for question #4
5. Are you fluent in any language other than English (please list):
Latest User Responses: |
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User Provided No Response
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User Provided No Response
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User Provided No Response
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User Provided No Response
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User Provided No Response
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View All Responses for question #5
6. What is the best way to contact you during the day:
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User Provided No Response
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email
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503-545-8142
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cell 3609011529
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User Provided No Response
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View All Responses for question #6
7. How many years have you been participating in Walk MS:
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8. Do you interact with the Society in any other way, such as participating in other Walks, Bike MS, volunteering, etc. (please list):
Latest User Responses: |
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Volunteer
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not yet
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not at this time
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have done bike ride
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User Provided No Response
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View All Responses for question #8
9. Do you participate in Walk MS with family members, co-workers and/or friends? (please check all that apply)
Total Number of Responses 23 |
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10. What is your personal motivation for participating in Walk MS? What inspires you to join the movement? Please be descriptive:
Latest User Responses: |
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survey/responses/836/813836.txt
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survey/responses/679/826679.txt
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survey/responses/270/821270.txt
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survey/responses/661/808661.txt
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survey/responses/129/819129.txt
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survey/responses/316/896316.txt
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survey/responses/349/815349.txt
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survey/responses/587/816587.txt
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survey/responses/886/825886.txt
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survey/responses/648/816648.txt
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survey/responses/579/830579.txt
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survey/responses/522/811522.txt
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survey/responses/532/812532.txt
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survey/responses/792/820792.txt
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survey/responses/065/822065.txt
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survey/responses/410/830410.txt
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survey/responses/190/810190.txt
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survey/responses/551/822551.txt
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survey/responses/125/811125.txt
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survey/responses/894/813894.txt
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survey/responses/947/817947.txt
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survey/responses/086/822086.txt
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survey/responses/080/896080.txt
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View All Responses for question #10
11. How has MS affected your life? (Through family, friends, co-workers, personally):
Latest User Responses: |
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User Provided No Response
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survey/responses/081/896081.txt
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survey/responses/411/830411.txt
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survey/responses/523/811523.txt
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survey/responses/948/817948.txt
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survey/responses/126/811126.txt
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survey/responses/350/815350.txt
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survey/responses/066/822066.txt
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survey/responses/649/816649.txt
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survey/responses/087/822087.txt
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survey/responses/552/822552.txt
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survey/responses/680/826680.txt
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survey/responses/837/813837.txt
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survey/responses/271/821271.txt
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survey/responses/887/825887.txt
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survey/responses/895/813895.txt
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survey/responses/130/819130.txt
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survey/responses/793/820793.txt
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survey/responses/533/812533.txt
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survey/responses/588/816588.txt
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survey/responses/580/830580.txt
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survey/responses/317/896317.txt
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View All Responses for question #11
12. If you have MS, do you mind telling how it has impacted your life before and after diagnosis:
Latest User Responses: |
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User Provided No Response
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survey/responses/082/896082.txt
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survey/responses/318/896318.txt
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survey/responses/088/822088.txt
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survey/responses/581/830581.txt
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survey/responses/838/813838.txt
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survey/responses/650/816650.txt
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survey/responses/662/808662.txt
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survey/responses/534/812534.txt
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survey/responses/794/820794.txt
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survey/responses/553/822553.txt
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survey/responses/067/822067.txt
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survey/responses/272/821272.txt
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survey/responses/412/830412.txt
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View All Responses for question #12
13. Terms Agreement:
Total Number of Responses 23 |
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