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2020 Survey

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Activity Type
What is your interest in the American Liver Foundation? (Check all that apply).
X - What disease state(s) are you interested in? (Check all that applies)
Pediatric Liver Disease:
Other Pediatric Liver Disease (write in)
Hepatitis:
Auto-Immune Liver Disease
Other diseases (please write in)
Please rank the following components of our mission from 1 to 4, based on your personal interests (1 = top priority; - 4 = least)
Education
Support Services
Research
Advocacy & Policy
Would you like to learn more about how you can help us raise awareness about Liver Disease?
Have you benefitted from one of our programs or services?
Which of the following topics are of interest to you? Please check all that apply.
Would you like to receive information on how to add the American Liver Foundation to your planned giving?
Tell us about some of your hobbies/ pastimes
To help us better serve our community, please provide the following demographics
Age Range
Gender - Fill out
Ethnicity
Employer
Job Title
Household Income Range
Personal Information
Email
User Account
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Last Updated on September 30, 2020

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