2024 Five Counties Children's Centre Supporter SurveyPrivate and Confidential

Question Title

* 1. What is your personal connection to Five Counties Children's Centre? Please select the option that best describes your relationship.

I have received care at Five Counties.

My loved one has received care.

I am a community member with no direct ties.

Other (please specify)

Question Title

* 2. On a scale of 1 (not aligned at all) to 10 (perfectly aligned), how closely do Five Counties' mission and values align with your personal values?

Clear

i We adjusted the number you entered based on the slider’s scale.

Question Title

* 3. In what ways does Five Counties' work reflect your personal values about care and community? Please elaborate.

Question Title

* 4. Please rank the following factors in order of their importance to you as motivators for supporting Five Counties. Rank them from 1 (most important) to 4 (least important).

Section 2: Five Counties' Impact

Question Title

* 5. Could you share a memorable experience that illustrates your connection to Five Counties' work? This could be a story about a specific visit, volunteer experience, or personal insight.

Question Title

* 6. How easy do you find it to access information about Five Counties' initiatives and the impact of your donations?

Very easy

Somewhat easy

Somewhat difficult

Very difficult

Question Title

* 7. In your opinion, which of the following strategic areas do you believe should be Five Counties' top priority? Please rank them from 1 (highest priority) to 5 (lowest priority).

Question Title

* 8. On a sale of 1 (very dissatisfied) to 10 (very satisfied), how satisfied are you with the impact of Five Counties' efforts in your community?

Clear

i We adjusted the number you entered based on the slider’s scale.

Question Title

* 9. Please elaborate on your answer above. What makes you proud to be a Five Counties supporter, and what improvements could be made to increase your satisfaction?

Question Title

* 10. In your opinion, which of the following areas do you believe should be Five Counties' top priority? Rank them from 1 (highest priority) to 4 (lowest priority).

Question Title

* 11. In your opinion, what is the single most important aspect of Five Counties?

Question Title

* 12. Which of Five Counties’ services would you be most interested in supporting as a donor? Please choose your top three interests.

Physiotherapy.

Occupational Therapy.

Therapeutic Recreation.

Infant Hearing/Blind-Low Vision.

Speech Language Therapy.

Social Work.

Preschool Speech and Language Program.

Autism Spectrum Disorder Diagnostics.

Equipment Loan Program.

Building Abilities for Life Campaign for Priority Needs.

Music Therapy.

Capital Projects.

Event Sponsorship.

Gift in Kind Items.

Section 3: Your Participation and Engagement

Question Title

* 13. Have you ever participated in any Five Counties events or activities?

Yes, I have attended multiple events.

Yes, I have attended one event.

No, but I wanted to.

No, I was not interested.

Question Title

* 14. Which types of activities or events would you be interested in participating in the future? Please rank the following activities from 1 (most interested) to 4 (least interested).

Question Title

* 15. Are there other ways you would like to engage with Five Counties that are not currently available? Please describe.

Question Title

* 16. On a scale of 1 (very unlikely) to 10 (very likely), how likely are you to continue your financial support for Five Counties over the next few years?

Clear

i We adjusted the number you entered based on the slider’s scale.

Question Title

* 17. Have you considered becoming a monthly donor to Five Counties?

I am already a monthly donor.

Maybe, I am curious to learn more.

I am interested in making a monthly gift.

Not right now, thank you.

Question Title

* 18. Would you consider making a major gift to support a specific Five Counties campaign or initiative in the near future?

Yes, I would like to consider a proposal in more detail.

Maybe, it depends on the timing and nature of the campaign.

Not within the next six months, but possibly next year.

It's not something I am interested in right now, thank you.

Question Title

* 19. Have you considered including Five Counties in your estate planning or as a beneficiary in your will to help future generations?

Yes, Five Counties is already included in my Will.

I am considering including Five Counties in my Will.

I have not written a Will, but I would consider this kind of gift Five Counties when I do.

I would like more information.

I am not interested at this time, thank you.

Question Title

* 20. What additional benefits or information would encourage you to consider higher levels of support or legacy giving?

Thank you for taking the time to share your thoughts!

Your answers will help shape the future of care at Five Counties Children's Centre. All of us here at Five Counties - board, staff, and volunteers - look forward to discussing your valued feedback and how it can help inform our important work.

Thank you for making a difference!