Planned Giving Webinar Survey

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Planned Giving Webinar Survey

First Name

Last Name

Email

Date of Birth

Month

Day

Year

Phone

Street Address

City

State

ZIP code

What is your primary connection to Parkinson's disease (PD)?

How did you hear about the webinar, "Plan Ahead to Protect Your Assets"?

Other (Please specify):

Why did you attend the webinar?

Other (Please specify):

Have you watched other MJFF webinars covering topics related to financial or estate planning in the past?

What topic(s) would you like to learn about in a future Planned Giving webinar?

Would you like future Planned Giving webinars to include a research update?

Contact Information

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First Name

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Last Name

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Zip Code

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Connection to Parkinson's

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What Year Were You Diagnosed with PD?

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