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Hello:
You are invited to participate in our survey [Westlake Parkinsons Support Group Planning for 2014]. We have started planning our agenda for 2014 and would like input from you to give us direction. Please fill in the short survey below.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact [Henry] at [805-338-5332] or by email at the email address specified below. Please complete by 9/28/2013

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.

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List 3 subject areas for which you would like to have professionals as speakers (doctors, health professionals, law enforcement):
   
 
 
 
List 3 topics on which you would like to have a group discussion with our members.
   
 
 
 
We will have 11 meetings next year. How many would you like to have speakers vs group discussion
 
10-11
 
8-9
 
6-7
 
4-5
 
2-3
 
 
 
Would you enjoy some non PD related speakers and discussions like member hobby day, member talent show, etc.
 
Yes
 
No
 
 
 
Comments/Suggestions:
   
 
Thank you for your time. This is my first time using this program. Please forgive any errors that I may have missed. Our support group is operated by volunteers. If you have a good suggestion or idea that requires some time and effort to plan, we may ask you if you would be willing to participate and make necessary arrangements. As our group grows, we will need more member participation. Thanks, Henry Rollins