Planned Parenthood of Delaware - Stakeholder Survey

What particular issues are you interested in or would like to know more about? (Please choose all that apply)

Question Title

* 1. What particular issues are you interested in or would like to know more about? (Please choose all that apply)

Healthy attitudes toward sexuality

Birth control and family planning

Public policy for reproductive issues

Teen pregnancy prevention

Comprehensive, medically accurate sex education

Sexually transmitted disease prevention

Women's rights

Abortion rights

Other (please specify)

Please select your top three reasons for supporting us:

Question Title

* 2. Please select your top three reasons for supporting us:

Comprehensive, medically-accurate sex education programs

Confidential and affordable birth control and family planning services

Additional health services such as breast and cervical cancer screenings, STD testing and treatment, etc.

A friend, family member, or I have used Planned Parenthood services

Advocacy for public policies that support Planned Parenthood's mission

Access to safe and legal abortion care

Other (please specify)

Please choose the statement that best describes how satisfied you are with the content and frequency of the communication you receive from PPDE.

Question Title

* 3. Please choose the statement that best describes how satisfied you are with the content and frequency of the communication you receive from PPDE.

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
I am satisfied with the current frequency of communication.	I am satisfied with the current frequency of communication. Strongly Agree	I am satisfied with the current frequency of communication. Agree	I am satisfied with the current frequency of communication. Neutral	I am satisfied with the current frequency of communication. Disagree	I am satisfied with the current frequency of communication. Strongly Disagree
I am satisfied with the content of the messages I receive.	I am satisfied with the content of the messages I receive. Strongly Agree	I am satisfied with the content of the messages I receive. Agree	I am satisfied with the content of the messages I receive. Neutral	I am satisfied with the content of the messages I receive. Disagree	I am satisfied with the content of the messages I receive. Strongly Disagree
I am satisfied with the method of communication.	I am satisfied with the method of communication. Strongly Agree	I am satisfied with the method of communication. Agree	I am satisfied with the method of communication. Neutral	I am satisfied with the method of communication. Disagree	I am satisfied with the method of communication. Strongly Disagree

Please explain (i.e. I would prefer to hear from you more, I enjoy the content of your newsletter, I enjoy reading updates on Facebook).

How would you like us to keep you informed about our programs, services, and upcoming events?

Question Title

* 4. How would you like us to keep you informed about our programs, services, and upcoming events?

Phone

Mail

Text Message

Social Media

www.ppdel.org

Other (please specify)

Would you like additional information regarding the following?

Question Title

* 5. Would you like additional information regarding the following?

Giving automatically through your checking account or with a credit card

Having your gifts matched by your employer

Establishing a charitable gift annuity

How to make a gift through your will

Making a gift of appreciated securities, which avoids the capital gains tax

Other (please specify)

Please select any of the following ways to get involved that might be of interest to you or someone you know:

Question Title

* 6. Please select any of the following ways to get involved that might be of interest to you or someone you know:

Volunteer opportunities

Advocacy efforts

Community outreach

Fundraising and/or planning special events

Upcoming PPDE programs and events

Touring our facilities

Meeting the CEO

Other (please specify)

Please complete the following information so that we may update our records accordingly, and respond to your feedback from this survey.

Question Title

* 7. Please complete the following information so that we may update our records accordingly, and respond to your feedback from this survey.

Name:

Address:

Address 2:

City/Town:

State:

ZIP:

Email Address:

Phone Number:

Please select the option that best describes how you feel regarding the following:

Question Title

* 8. Please select the option that best describes how you feel regarding the following:

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
I feel that my gifts are acknowledged in a timely matter.	I feel that my gifts are acknowledged in a timely matter. Strongly Agree	I feel that my gifts are acknowledged in a timely matter. Agree	I feel that my gifts are acknowledged in a timely matter. Neutral	I feel that my gifts are acknowledged in a timely matter. Disagree	I feel that my gifts are acknowledged in a timely matter. Strongly Disagree
I feel that I am appropriately thanked for my gift.	I feel that I am appropriately thanked for my gift. Strongly Agree	I feel that I am appropriately thanked for my gift. Agree	I feel that I am appropriately thanked for my gift. Neutral	I feel that I am appropriately thanked for my gift. Disagree	I feel that I am appropriately thanked for my gift. Strongly Disagree
I feel that my gifts make a difference in the lives of the people PPDE serves.	I feel that my gifts make a difference in the lives of the people PPDE serves. Strongly Agree	I feel that my gifts make a difference in the lives of the people PPDE serves. Agree	I feel that my gifts make a difference in the lives of the people PPDE serves. Neutral	I feel that my gifts make a difference in the lives of the people PPDE serves. Disagree	I feel that my gifts make a difference in the lives of the people PPDE serves. Strongly Disagree
I feel that my gifts are being used appropriately.	I feel that my gifts are being used appropriately. Strongly Agree	I feel that my gifts are being used appropriately. Agree	I feel that my gifts are being used appropriately. Neutral	I feel that my gifts are being used appropriately. Disagree	I feel that my gifts are being used appropriately. Strongly Disagree
I feel valued as a part of the PPDE community.	I feel valued as a part of the PPDE community. Strongly Agree	I feel valued as a part of the PPDE community. Agree	I feel valued as a part of the PPDE community. Neutral	I feel valued as a part of the PPDE community. Disagree	I feel valued as a part of the PPDE community. Strongly Disagree

Please feel free to explain:

Please select the option that best describes how you feel about Planned Parenthood of Delaware.

Question Title

* 9. Please select the option that best describes how you feel about Planned Parenthood of Delaware.

Very Connected

Somewhat Connected

Not Very Connected

Not at All Connected

Other (please explain):

Do you have any questions, comments, or concerns that you would like us to address? Please be advised that we may not be able to respond to your requests adequately if you omit your contact information from Question 7.

Question Title

* 10. Do you have any questions, comments, or concerns that you would like us to address? Please be advised that we may not be able to respond to your requests adequately if you omit your contact information from Question 7.