Below is a sample of the emails you can expect to receive when signed up to naaf.
Data Name | Data Type | Options |
---|---|---|
Yes | Text Box | |
First name | Text Box | |
Last name | Text Box | |
Title | Text Box | |
Text Box | ||
Home address | Text Box | |
City | Text Box | |
State | Text Box | |
Country | Text Box | |
Postcode | Text Box | |
Gender | Text Box | |
Title | dropdown | - None - |
Alabama | option | US State |
Alaska | option | Alabama |
American Samoa | option | Alaska |
Arizona | option | American Samoa |
Arkansas | option | Arizona |
California | option | Arkansas |
Colorado | option | California |
Connecticut | option | Colorado |
Delaware | option | Connecticut |
District of Columbia | option | Delaware |
Florida | option | District of Columbia |
Georgia | option | Florida |
Guam | option | Georgia |
Hawaii | option | Guam |
Idaho | option | Hawaii |
Illinois | option | Idaho |
Indiana | option | Illinois |
Iowa | option | Indiana |
Kansas | option | Iowa |
Kentucky | option | Kansas |
Louisiana | option | Kentucky |
Maine | option | Louisiana |
Marshall Islands | option | Maine |
Maryland | option | Marshall Islands |
Massachusetts | option | Maryland |
Michigan | option | Massachusetts |
Minnesota | option | Michigan |
Mississippi | option | Minnesota |
Missouri | option | Mississippi |
Montana | option | Missouri |
Nebraska | option | Montana |
Nevada | option | Nebraska |
New Hampshire | option | Nevada |
New Jersey | option | New Hampshire |
New Mexico | option | New Jersey |
New York | option | New Mexico |
North Carolina | option | New York |
North Dakota | option | North Carolina |
Northern Marianas Islands | option | North Dakota |
Ohio | option | Northern Marianas Islands |
Oklahoma | option | Ohio |
Oregon | option | Oklahoma |
Palau | option | Oregon |
Pennsylvania | option | Palau |
Puerto Rico | option | Pennsylvania |
Rhode Island | option | Puerto Rico |
South Carolina | option | Rhode Island |
South Dakota | option | South Carolina |
Tennessee | option | South Dakota |
Texas | option | Tennessee |
Utah | option | Texas |
Vermont | option | Utah |
Virgin Islands | option | Vermont |
Virginia | option | Virgin Islands |
Washington | option | Virginia |
West Virginia | option | Washington |
Wisconsin | option | West Virginia |
Wyoming | option | Wisconsin |
Country | dropdown | - None - |
Gender | dropdown | - None - |
Yes | checklist | - None -MaleFemaleOther Yes, I would like to receive e-mail from National Alopecia Areata Foundation |
Yes | option | Yes Information about individual with Alopecia Areata I have a family member with alopecia areata * |
No | option | Yes |
Yes | option | No I have alopecia areata * |
No | option | Yes |
Gender of person with alopecia * | dropdown | - None - |
dropdown | - None - | |
dropdown | - None - | |
dropdown | - None - | |
option | Year19201921192219231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020 Has what type of alopecia areata? * | |
option | Alopecia areata patchy | |
option | Alopecia areata totalis | |
dropdown | - None - | |
dropdown | - None - |