Pacific Clinics Donor Survey

Pacific Clinics' Donor Survey

As one of our most loyal supporters, you are important to us and your opinion matters. You have helped make it possible for Pacific Clinics to provide exceptional mental health services in Southern California for 95 years, and we are so grateful.

As you answer the survey questions, we encourage you to think about your personal experiences with Pacific Clinics and share your candid impressions. You'll help us understand why and how you prefer to support us, and which aspects of our work are most meaningful to you.

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* 1. Why do you support Pacific Clinics? Please select all that apply.

Because Pacific Clinics was there for me or my loved ones

To provide general support for Pacific Clinics’ programs and services

For tax purposes (charitable tax deductions, reduce capital gains, decrease estate taxes)

I believe in Pacific Clinics' mission

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* 2. Was there an influential person in your life that inspired you to appreciate the work of Pacific Clinics? We invite you to tell us about this person in the comments section. Please also include your contact information, name , email.

Yes

Please tell us your story:

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* 3. Which Pacific Clinics programs are closest to your heart? Please select all that apply.

Mental health services, programs and community resources

Housing, Food Insecurity

Transitional Age Youth (14-26 yrs.)

Adults and Seniors

Head Start/Early Head Start educational programs (0-5 yrs.)

Asian Pacific Family Centers

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* 4. When thinking about the future, how important is it to you that Pacific Clinics continues providing the programs and services listed in the previous questions?

Extremely important

Very important

Somewhat important

Not so important

Not at all important

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* 5. What is your relationship status?

Married

Single

Widowed

Divorced

Other

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* 6. What is your age range?

Under 40

40-49

50-59

60-69

70-79

80-89

90 or above

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* 7. Employment Status

Employed

Self-Employed/Business Owner

Retired

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* 8. Would you like more opportunities to engage with Pacific Clinics?

Yes

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* 9. In what ways do you prefer to engage and stay updated about Pacific Clinics?

In-person visits/meetings

Phone calls

Emails, newsletters

Please update your Email address and/or Phone number:

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* 10. Have you included Pacific Clinics in your estate plan or Will?

Yes

Not yet, but I would like to learn more