Walk with a Doc- Walk Census
Thank you for renewing your Walk with a Doc membership! We appreciate your continued leadership and we’re thrilled to have you joining us for another year (we know your community does too).
If you are unable to continue your WWAD program this year, please email
or go to
Sign in to Google
to save your progress.
Walk Chapter (City and Organization/Leader)
How many walks did your chapter host in the past 12 months?
In-person and/or virtually
About how many people attend your walks on average?
Approximately how many healthcare providers have helped lead your walks in the past 12 months?
Please outline your WWAD schedule for the next 12 months to the best of your ability.
Do you have any other updates for your WWAD website?
Do you use the WWAD Leader Portal?
No, but I'd like to get access so I can check it out
No, I don't need to
What else would you like to see on the WWAD Leader Portal?
Is there anything WWAD HQ can do to help support you?
Do you have any fun stories from walkers or walk leaders to share?
Never submit passwords through Google Forms.
This form was created inside of Walk with a Doc.