MOONS-MN Membership Questionnarie
Please complete this form both to get on the MOONS-MN mailing list (email or postal) and to provide the MOONS-MN planning group feedback as to what things our group should do. MOONS-MN will keep your personal information private and shares its mailing list with no one.
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First Name
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Last Name
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Your email address
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Your phone number
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Mailing address - street address
Please enter your mailing address if you would prefer to receive MOONS-MN information through the U.S. Postal Service
Mailing address - city
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Mailing address - state
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Mail address - ZIP code
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Member status
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Narcolepsy/Hypersomulence Interest
Please select all that apply to you.
What would you like to see at MOONS-MN meetings?
Please select all that apply to you.
Which topics would be of interest to you?
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Would you be willing to help plan and coordinate MOONS-MN activities?
Please select the most accurate choice from the drop down list.
If  you answered "Yes," or "Maybe," to the previous question, what might you be willing to do?
Please select all that apply to you. If you answered "No," please skip this question.
If you are willing to share your own story about narcolepsy or hypersomulence, about what might you talk?
Please offer a brief idea of potential topics for you.
What would your "ideal" meeting time be, in terms of day of the week?
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What time of day would be the best for you to have a meeting?
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What would be the best way for MOONS-MN to contact you?
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Should we have food available at MOONS-MN meetings?
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What kinds of meetings should MOONS-MN have?
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Should MOONS-MN have membership dues?
Please select the best choice for you from the drop down list.
How much would you be willing to pay per year for membership dues?
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Is there anything else you would like MOONS-MN to know?
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