National Osteoporosis Foundation: Survey - Bone Health Advocates Survey

Bone Health Advocates Survey

Our advocates are essential to achieving public policy victories that advance bone health and osteoporosis to the top of the national healthcare agenda. To better tailor our advocacy programs and resources to your needs and interests, we want to learn more about you! Please take a moment to complete our advocate survey. We will not share your answers with anyone and it will take just a few minutes to complete the survey.

1.

Please share your contact information with us.

Name:

First Required	Last Required

Email:

City:

City	State

Phone Number:

Remember me. What's this?

2.

Question - Not Required - I am:

	Female
	Male

3.

Question - Not Required - I am:

	Under 18
	18 - 29
	30 - 44
	45 - 64
	65 - 69
	70 - 79
	80 and over

4.

Question - Not Required - I am interested in osteoporosis and better bone health because: (Choose all that apply)

	I have osteoporosis
	I have low bone density (osteopenia)
	I have a relative or friend who has osteoporosis or low bone density
	I work with osteoporosis patients
	I am interested in wellness and health promotion
	Other

5.

Question - Not Required - I am an advocate for better bone health because: (Choose all that apply)

	I want to raise awareness in my community about better bone health
	I want to raise the media's awareness about the importance of bone heath
	I want to see public health policies related to osteoporosis and bone health signed into law
	Other

6.

Question - Not Required - I have had a bone density test of the hip and/or spine:(DXA)

	Yes
	No
	Not sure

7.

Question - Not Required - I am a health professional:

	Yes
	No

8.

Question - Not Required - I want to take action as part of an NOF advocacy campaign by: (Choose all that apply)

	Visiting my elected officials on Capitol Hill
	Visiting my elected officials in my community
	Visiting my elected officials as part of a group of constituents
	Inviting a local elected official to visit my facilities (for example, a hospital, senior center or after school program)
	Writing a letter or e-mail to my elected officials
	Writing a letter-to-the-editor of my local paper
	Signing a petition
	Other

9.

Question - Not Required - I want to raise awareness about better bone health in my community by: (Choose all that apply)

	Speaking to local groups about better bone health
	Walking to raise awareness about better bone health
	Partnering with NOF for an event, like a health fair or a walk
	Sharing NOF advocacy alerts with friends and family
	Other

10.

Question - Not Required - Participating in the following activities would help me become an effective advocate: (Choose all that apply)

	Attending a webinar (online workshop)
	Attending a half-day local meeting
	Other

11.

Question - Not Required - If you have attended a Strong Voices for Strong Bones Advocacy Training Meeting in the past and your group had a follow-up activity, we'd like to know. Anything from speaking to your Congressman to holding an event makes a difference! Tell us about the activity in the space below.