How has Walk with a Doc (and walking in general) impacted your life? We would love to hear your story and share it on our Facebook, newsletter, website, etc. to help encourage others around the world. Please fill out this short form to be considered for a feature. If you'd rather talk to someone in WWAD headquarters, give us a call at 614-714-0407 or email us your story at
Nice to meet you! What is your name?
Are you part of a Walk with a Doc program?
I was, but not anymore
What city and state do you live/walk in?
Who is the Leader/Doctor for your Walk with a Doc program?
How long have you been walking?
What was your activity level like before and after joining Walk with a Doc?
Why do you walk?
Why do you choose Walk with a Doc? What is the most valuable piece of WWAD?
Is there anything else you'd like to share? We love fun stories!
Please email or text a picture of yourself to
. If you have one with WWAD gear, that would be great, but anything works!
Do we have your permission to share this story on social media and on our website?
We'd like to contact you to show our thanks for sharing your story. What is a good email address and phone number?
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service