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 contact@walkwithadoc.org or go to walkwithadoc.org/discontinue
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Your Name *
Email Address *
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 (ongoing schedule, time, location). If you're resuming after a pause, please include your estimated re-start date. *
Do you have any other updates for your WWAD website?
Do you use the WWAD Leader Portal?
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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?
Effective Date
If Walk with a Doc included an "effective date" in the email you were sent, please list it here. Otherwise leave it blank.
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