Qualtrics Survey | Qualtrics Experience Management

2024 Summit for Parkinson's
Contact Information:

How do you plan to participate?

In-Person at the Red Lion Hotel, Kalispell, MT

Remotely

Please list the name(s) of anyone who is attending the conference with you.

If you are attending in person, please describe any dietary restrictions or allergies and accommodations you may need.

Which best describes you? (check all that apply)

I am a person living with Parkinson's

I am a care-partner for a person living with Parkinson's

I am a provider for a person living with Parkinson's (please specify)

I am a Support Group Coordinator

I am a Care Partner Coordinator

Other (please specify)

If you are participating remotely, do you have the ability to download and print materials for the conference?

The in-person sessions will be video recorded. Please indicate your preference for being included in the recordings.

I am OK with being seated in the recorded view.

I prefer not to be seated in the recorded view.

What are the top three problems you face in dealing with Parkinson's?

What can Summit for Parkinson's do for you?

Would you like to receive future emails from the Summit for Parkinson's?

Yes

No