SCD Soldier Network, Inc.

PO Box 142456
Fayetteville, GA 30214

ph: (770) 460-8016
fax: (770) 461-0437
alt: (404) 933-1838

Service Recommendations

You can help us to create the service programs that we provide. If you are an adult living with Sickle Cell Disease we want to know what kind of services you need. Our SCD Soldier Network is designed to assist you, so we want to try to address your needs. Funding is not yet in place for financial assistance, however there are so many other things that you might need when you are sick in or out of the hospital. 

Please use this survey form to tell us what we need to provide. Your recommendations will be considered. Your feedback is very important to us.

More Information

The information that you provide in this survey will be used strictly for the purpose of evaluating the services that we will provide through the SCD Soldier Network and will not be shared with a third party in it's private format.

Your name and/or email address will never be shared or sold.

Tell Us What You Think

We want to know what our clients need so if you have a suggestion that is not on the survey form, feel free to use the additional suggestions section to describe your ideas.

 

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Choose the option that best describes the past five years

Copyright 2010 SCD Soldier Network, Inc. All rights reserved.

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PO Box 142456
Fayetteville, GA 30214

ph: (770) 460-8016
fax: (770) 461-0437
alt: (404) 933-1838