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U2FP Advocate Survey
This form will be utilized to identify and organize U2FP advocates and allies
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* Indicates required question
Do you consider yourself an ally to U2FPs efforts to expedite functional recovery in the SCI population?
*
Yes
No
No, but I would like to be
Other:
What is your first name?
*
Your answer
What is your last name?
*
Your answer
In which country do you live?
*
Choose
United States
Canada
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua&Deps
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
BosniaHerzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina
Burundi
Cambodia
Cameroon
CapeVerde
CentralAfricanRep
Chad
Chile
China
Colombia
Comoros
Congo
Congo(DemocraticRep)
CostaRica
Croatia
Cuba
Cyprus
CzechRepublic
Denmark
Djibouti
Dominica
DominicanRepublic
EastTimor
Ecuador
Egypt
ElSalvador
EquatorialGuinea
Eritrea
Estonia
Eswatini
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
IvoryCoast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
KoreaNorth
KoreaSouth
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
MarshallIslands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
NewZealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Palestine
Panama
PapuaNewGuinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
RussianFederation
Rwanda
StKitts&Nevis
StLucia
SaintVincent&theGrenadines
Samoa
SanMarino
SaoTome&Principe
SaudiArabia
Senegal
Serbia
Seychelles
SierraLeone
Singapore
Slovakia
Slovenia
SolomonIslands
Somalia
SouthAfrica
SouthSudan
Spain
SriLanka
Sudan
Suriname
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad&Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
UnitedArabEmirates
UnitedKingdom
Uruguay
Uzbekistan
Vanuatu
VaticanCity
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
In which state/province do you live (US and Canada)?
*
Choose
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Ontario
Prince Edward Island
Quebec
Saskatchewan
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