HD Reach : Pathway : Member Survey

You and thousands of other people throughout North Carolina are facing the challenges of Huntington’s disease so that you can live your best life. Each of you are on a journey traveling on a unique set of paths.

HD Reach’s new Pathway Membership will connect you to the care and services HD Reach provides and give you access to a community with diverse strengths by fostering opportunities to help others and deepen your connections to the resources you need the most.

There is no cost to join and receive Pathway benefits. We hope you will out the Member Survey as an individual and ask your friends and family to complete it as well so that we can best guide you on your path.

Contact Information

First Name (Required)

x1wh773149i0

Last Name (Required)

Email (Required)

Mobile Phone

Home Phone

Address

Country

Address Line 1

City

State

Postal Code

How do you prefer to be contacted (check all that apply):

E-mail
Phone
Mail
Prefer not to be contacted

Which of the following statements best describes you?

I have HD
I know someone with HD or at-risk
I am at-risk for HD
I am a professional healthcare provider
I don’t fit in the categories above, but I am interested in HD

How did you hear about HD Reach?

Family/Friend
Doctor
Psychiatrist
Other Medical Person
Web
HDSA
Clinic
Social Media
Other

How do you like to learn about HD information?

HD Reach wants to know what matters most to you. Please tell us which topics interest you (check all that apply)

Living with HD

Planning

Long-term Care
Legal
Disability
At-risk
Genetic Testing
Family Planning

Engagement

Volunteering
Peer to Peer Connection
Fundraising Events
Advocacy
Social Events
Board Service

General

Professional Training

What else do we need to know? Can you tell us what you like best about HD Reach or what we could do to help you more?