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United Spinal Association Nebraska Chapter

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ADVOCACY

The goal of this questionnaire is to help define SCI/D community’s items for advocacy.

Your Name:

Phone Number:

Email:

Do you have a SCI/D? *

Yes

No

Are you interested in becoming a Grassroots Advocacy Member? *

Yes

No

Already a member

What are 3 Items you would like United Spinal Association of Nebraska to Advocate for change? Item 1:

Item 2:

Item 3:

Thanks for your feedback!

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