Virtual Ability, Inc.

Information Requests

Across Second Life, there are many organizations and groups that provide information, support, and community for a wide range of health / ability issues. If you would like information about any of the following, please indicate so here. After you are in Second Life, we will send to your Second Life account information about these support groups, so you may contact them if you wish.

All information provided below is completely voluntary. The information you provide here will be used to send information about support groups in the areas selected to your Second Life account.

After I am in Second Life, please send me information about:

	ADD or ADHD
	Addiction (Alcoholism, Eating Disorders, etc.)
	AIDS/HIV
	Autoimmune Disorders (Arthritis, Hepatitis, Crohn's and Colitis, IBS etc.)
	Autism Spectrum
	Cancer
	Chronic Fatigue, Fibromyalgia
	Chronic Pain
	Diabetes
	Dialysis
	Disabled Veterans and other military support
	Endometriosis and Polycystic Ovary Syndrome
	Facial Differences
	Genetic Disorders (Cystic Fibrosis, Down Syndrome, etc.)
	Mental Health Issues (Agoraphobia, Anxiety, BiPolar, Depression, etc.)
	Peer Support
	Mobility Disorders (Cerebral Palsy, Muscular Dystrophy, Wheelchair Users, etc.)
	Multiple Sclerosis
	Neurologic Disorders (Alzheimer's, Epilepsy, Headache, Parkinson's, TBI, etc.)
	Organ Donation
	Sensory Impairment (Visual Impairment, Hearing Impairment, etc.)
	Stroke
	Other issues, as described below:
(250 characters maximum)

When you are ready to continue and select the name of your new Second Life character, press