Below is a sample of the emails you can expect to receive when signed up to Brian Grant.
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Data Name | Data Type | Options |
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This field can be seen by: Only Me Age * | Text Box | |
First name | Text Box | |
Last name | Text Box | |
Title | Text Box | |
Username | Text Box | |
Password | Text Box | |
Text Box | ||
Home address | Text Box | |
City | Text Box | |
State | Text Box | |
Password (confirm) | Text Box | |
Gender | Text Box | |
number | ||
dropdown | ---- | |
dropdown | ---- | |
Movement Disorders Specialist | checklist | ----AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming This field can be seen by: Only Me |
Neurologist | checklist | Movement Disorders Specialist |
Nurse | checklist | Neurologist |
Physician Assistant | checklist | Nurse |
Physical Therapist | checklist | Physician Assistant |
Physical Therapist Assistant | checklist | Physical Therapist |
Group Exercise Instructor | checklist | Physical Therapist Assistant |
Personal Trainer | checklist | Group Exercise Instructor |
Occupational Therapist | checklist | Personal Trainer |
Speech Therapist | checklist | Occupational Therapist |
Social Worker | checklist | Speech Therapist |
Person with Parkinson's | checklist | Social Worker |
Person who cares for someone with Parkinson's | checklist | Person with Parkinson's |
Other | checklist | Person who cares for someone with Parkinson's |
Everyone | option | This field can be seen by: Everyone Change Who can see this field? |
Only Me | option | Everyone |
All Members | option | Only Me |
number | ||
I Agree | checklist | This field can be seen by: Only Me By checking this box I acknowledge that I have read and agree to the Privacy Policy and Terms and Conditions * View the privacy policy and terms in the footer below |
Everyone | option | I Agree This field can be seen by: Everyone Change Who can see this field? |
Only Me | option | Everyone |
All Members | option | Only Me |
Yes | checklist | All Members Close Sign me up to receive email updates and notifications from the Brian Grant Foundation |
Everyone | option | Yes This field can be seen by: Everyone Change Who can see this field? |
Only Me | option | Everyone |
All Members | option | Only Me |