SHS-Affiliated Foundations Samaritan Society Survey 2012SHS-Affiliated Foundations Samaritan Society Survey 2012

Thank you for your generous support of our Samaritan-affiliated hospital foundation(s) as a Samaritan Society member in 2012. Please take a few moments to share your feedback with us.

1. What prompted your gift to the foundation? (Check all that apply)

What prompted your gift to the foundation? (Check all that apply) Positive experience as a patient, or friend/relative of a patient

Positive experience as an employee

To support the hospital's mission

Because I was asked

Special interest in a particular program or project

Gift in memory/honor/recognition of someone

Other (please specify)

2. Please indicate how strongly you agree with the following statements:

	Strongly agree	Agree	Neutral	Disagree	Strongly disagree
The foundation quickly and accurately acknowledges my gift	*Please indicate how strongly you agree with the following statements: The foundation quickly and accurately acknowledges my gift Strongly agree	The foundation quickly and accurately acknowledges my gift Agree	The foundation quickly and accurately acknowledges my gift Neutral	The foundation quickly and accurately acknowledges my gift Disagree	The foundation quickly and accurately acknowledges my gift Strongly disagree
The foundation does a good job of informing me of how my gifts are being used	The foundation does a good job of informing me of how my gifts are being used Strongly agree	The foundation does a good job of informing me of how my gifts are being used Agree	The foundation does a good job of informing me of how my gifts are being used Neutral	The foundation does a good job of informing me of how my gifts are being used Disagree	The foundation does a good job of informing me of how my gifts are being used Strongly disagree
I tell my friends and family that the foundation is worth supporting	I tell my friends and family that the foundation is worth supporting Strongly agree	I tell my friends and family that the foundation is worth supporting Agree	I tell my friends and family that the foundation is worth supporting Neutral	I tell my friends and family that the foundation is worth supporting Disagree	I tell my friends and family that the foundation is worth supporting Strongly disagree
I feel my gifts to the foundation are appreciated	I feel my gifts to the foundation are appreciated Strongly agree	I feel my gifts to the foundation are appreciated Agree	I feel my gifts to the foundation are appreciated Neutral	I feel my gifts to the foundation are appreciated Disagree	I feel my gifts to the foundation are appreciated Strongly disagree
Communication (such as newsletters) I receive from the foundation is interesting and informative	Communication (such as newsletters) I receive from the foundation is interesting and informative Strongly agree	Communication (such as newsletters) I receive from the foundation is interesting and informative Agree	Communication (such as newsletters) I receive from the foundation is interesting and informative Neutral	Communication (such as newsletters) I receive from the foundation is interesting and informative Disagree	Communication (such as newsletters) I receive from the foundation is interesting and informative Strongly disagree

3. When making a gift donation to the foundation, what is most important for you to know? (Please check one)

When making a gift donation to the foundation, what is most important for you to know? (Please check one) How quickly and accurately my gift will be acknowledged (i.e. - a letter and/or phone call from the foundation)

How I will be recognized for my gift

Whether or not the foundation will keep me informed about how my gift is being used

Whether or not any of my gift will be used on overhead expense

Whether or not the foundation will ask me for another gift too soon

Other (please specify)

4. How much do you appreciate the following types of recognition?

	Very much appreciated	Somewhat appreciated	Not appreciated
Note from foundation staff	*How much do you appreciate the following types of recognition? Note from foundation staff Very much appreciated	Note from foundation staff Somewhat appreciated	Note from foundation staff Not appreciated
Note from foundation board member	Note from foundation board member Very much appreciated	Note from foundation board member Somewhat appreciated	Note from foundation board member Not appreciated
Phone call from foundation staff	Phone call from foundation staff Very much appreciated	Phone call from foundation staff Somewhat appreciated	Phone call from foundation staff Not appreciated
Phone call from foundation board member	Phone call from foundation board member Very much appreciated	Phone call from foundation board member Somewhat appreciated	Phone call from foundation board member Not appreciated
Invitation to events	Invitation to events Very much appreciated	Invitation to events Somewhat appreciated	Invitation to events Not appreciated
My name listed in foundation publications	My name listed in foundation publications Very much appreciated	My name listed in foundation publications Somewhat appreciated	My name listed in foundation publications Not appreciated
My name listed on a donor wall	My name listed on a donor wall Very much appreciated	My name listed on a donor wall Somewhat appreciated	My name listed on a donor wall Not appreciated
Tour of the hospital or department	Tour of the hospital or department Very much appreciated	Tour of the hospital or department Somewhat appreciated	Tour of the hospital or department Not appreciated
Meeting with hospital officials	Meeting with hospital officials Very much appreciated	Meeting with hospital officials Somewhat appreciated	Meeting with hospital officials Not appreciated

Other (please specify)

5. In 2013, how likely are you to:

In 2013, how likely are you to: Give to the foundation at a higher level than in 2012

Give to the foundation at the same level as in 2012

Give to the foundation at a lesser level than in 2012

6. How do you prefer to make your gifts to the foundation? (Please check all that apply)

How do you prefer to make your gifts to the foundation? (Please check all that apply) In person

At foundation events

Through the mail

Online (through secure foundation website)

Over the phone

Other (please specify)

7. Where do you get most of your information about the foundation? (Please check all that apply)

Where do you get most of your information about the foundation? (Please check all that apply) Local newspaper

Heart to Heart magazine from Samaritan Health Services

Impact report that is mailed or emailed to me

Online updates

Events and meetings at the hospital

Word of mouth from people at the hospital

Other (please specify)

8. Are you interested in receiving email updates and an email version of your annual giving statement from the foundation in the future?

Are you interested in receiving email updates and an email version of your annual giving statement from the foundation in the future? Yes

9. If you answered yes to question 8, please provide your email address. Your email address will not be shared with outside organizations.

If you answered yes to question 8, please provide your email address. Your email address will not be shared with outside organizations. Email Address:

10. Would you consider the hospital foundation to be among the top three charities that you support? Why or why not?

Would you consider the hospital foundation to be among the top three charities that you support? Why or why not? Yes

Comment Box

11. What else would you like us to know regarding your thoughts about the hospital and/or foundation?

What else would you like us to know regarding your thoughts about the hospital and/or foundation?

Contact Information (Optional) Name:
Phone Number:

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