Survey Maker LogoSuper Survey Maker
Survey MakerSurvey TemplatesContactPrivacy & Security

Children's Hospital at Montefiore: Sickle Cell Awareness Month and Transition Events

For a Sickle Cell Awareness event this fall, would you prefer an IN PERSON or VIRTUAL event?
In Person
Virtual
I don't have a preference
Would you like to have the Sickle Cell Awareness month event on a weekday or a Saturday?
Weekday
Saturday
No preference
Are you a patient or a parent of a patient between ages 16-21?
Yes
No
We have the opportunity to partner with Next Step-- an organization can lead a fun event (with free food and prizes!) at CHAM for our sickle cell patients ages 16-21 about transition to adult care. This event would be in person. Would you want to attend this kind of in-person event? 
Yes
No
Would you prefer to attend the in person event on a weeknight or Saturday?
Weeknight
Saturday
No preference
For IN PERSON transition event planning: what is your EMAIL?
Would you be interested in attending a VIRTUAL transition event (via zoom) with Next Step?
Yes
No
If you are interested in a VIRTUAL event, would you prefer to attend on a weeknight or a Saturday?
Weeknight
Saturday
No preference
For VIRUTAL transition event planning: What is your email?
Do you have any other comments about your availability for these transition events?
Do you have any other ideas for events or do you have any other suggestions?
{"name":"Children's Hospital at Montefiore: Sickle Cell Awareness Month and Transition Events", "url":"https://www.supersurvey.com/QPREVIEW","txt":"For a Sickle Cell Awareness event this fall, would you prefer an IN PERSON or VIRTUAL event?, Would you like to have the Sickle Cell Awareness month event on a weekday or a Saturday?, Are you a patient or a parent of a patient between ages 16-21?","img":"https://www.supersurvey.com/3012/images/ogquiz.png"}

More Surveys

A Doctors Way of Writing
9431
Dag in, dag uit
11639
Grill dude quiz
8423
Excessive Online Streaming and Changes in Special Science Class (SSC) Students' Body Clock
351826
Probability Language
1050
Survey on genetic engineering for my EPQ
6330
my family member for your sexual pleasures and how would you use her first?
1890
Marketing Survey
201026
Travelling Survey
4226
Shania's Sleep Study Questions
10523
Rate the Following Current/Possible Chummer5a Icons (1 = Worst, 10 = Best)
520
Food Truck
11612
Make your own Survey
- it's free to start.
Super Survey Logo
Powered by
Super Survey Maker Make your own Survey