Walk with a Doc Post-Event Survey
Thank you for hosting a Walk with a Doc event! Please have your chapter leader complete the survey below after each walk and let us know if there's anything we can do to help support you for the next event!
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Chapter Number *
Your Name
Email Address
Walk Date *
MM
/
DD
/
YYYY
Number of Participants *
Speaker/leader for this event
Please include the first and last name(s) of the physicians/students who gave the health talk at this particular event.
Health Topic
Was this walk in a rural and/or underserved community? *
Please provide any additional feedback: good or bad!
Thanks for completing this survey! After hitting "submit" below, please email contact@walkwithadoc.org or call 614-714-0407 with any questions, website updates, or anything we can do to help support you. We're excited for your next walk!
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