What information on Parkinson’s disease are you most interested in receiving? (Please check all that apply)
 
How would you prefer to receive information about Parkinson's disease? (Please check all that apply)
 
Have you heard of the following APDA programs, services, or resources? (Please check all that apply)
 
Have you utilized the following APDA programs, services, or resources? (Please check all that apply)
 
Have you found the following type of assistance useful in helping you cope with Parkinson's? (Please check all that apply)
 
Have you found the following type of assistance useful in helping you cope with Parkinson’s during the COVID-19 pandemic? (Please check all that apply) *
How did you first become aware of the APDA? (Please choose one)
 
Do you feel you have adequate information on Parkinson’s disease?
How likely are you to continue utilizing online virtual programs? *
Have you participated in a telehealth or telemedicine visit with your neurologist?
I am a: (Please choose one) *
 
Number of years since diagnosis
Have you served in the military?
Which branch(es) of the military did you serve? (Please check all that apply)
What is your race/ethnicity (Please choose only one) *
Would you like to receive APDA email updates and invitations? (If yes, please complete the information below)