Questionnaire
Dear Sir/Madam,
If you wish to register for the free counseling service provided by the professional team engaged and funded by the Foundation for the Fight Against ALS, please complete the electronic questionnaire.
After submitting the questionnaire, you will receive a response with a phone number that you can use to schedule your appointment at the counseling center. During the session, you will have the opportunity to ask questions and receive all the information that can help you cope with ALS.
To ensure we can provide you with timely feedback and contact details for scheduling your appointment, please enter the following information in the questionnaire: