National Survey

Please take the time to take the survey. Note: NO PERSONAL DATA IS REQUIRED! YOUR PRIVACY AND ANONYMITY ARE IMPORTANT AND RESPECTED. By asking for no more than your zip code and email, which is completely voluntary, there is no personal information to maintain or protect.


Participation is critical and will have long lasting, positive impacts on the community. Remember. Silence is consent.

To begin the survey please scroll down in the box below.  Thank you.


Create your own user feedback survey


Once you have completed the survey  we ask that you share with your friends.  The more people that fill out this survey, the more likely we are to accomplish our goals.  Thank you.

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