Donor Survey Question Title * 1. What is your age group? 20-49 50-65 over 65 OK Question Title * 2. What is your gender? Female Male Other OK Question Title * 3. Please fill in your preferred method of communication. Mail Email Please provide your email and/or your new mailing address if your address has changed. OK Question Title * 4. How often should we send you information? Monthly Twice a year Yearly Whenever available OK Question Title * 5. Would you like to receive any of the following? Electronic Newsletter Upcoming Events Info Updates/News Flashes Electronic Annual Report Please provide your full name and email address if you would like to receive any of the above. OK Question Title * 6. How did you hear about us initially? Through a friend or family member Direct Mail A Heart House Hospice volunteer Heart House Hospice Employee or Board Member Online Newspaper Article Event Other (please specify) OK Question Title * 7. Have you ever volunteered with Heart House Hospice?: Yes - Day Program Yes - Complementary Therapies (Health and Wellness Program) Yes - Driver Yes - In-Home Visiting Yes - Reception Yes - Special Events Committee No Other (please specify) OK Question Title * 8. Would you like to learn about volunteer opportunities? Yes (If yes, please provide your email address.) No Email Address if you'd like more information about volunteering at our Hospice OK Question Title * 9. Have you attended any of our events? Yes - Golf Fore Hospice Yes - Gala Yes - Handbags for Hospice Yes - Mississauga Marathon Yes - Healing Cycle No OK Question Title * 10. Would you like to attend our events? Yes - Golf Fore Hospice Yes - Gala Yes - Handbags for Hospice Yes - Hike For Hospice (replaces Mississauga Marathon) Yes - Healing Cycle No If you responded yes to any of our events, please provide your email address so we can be in touch with h you about more details. OK Question Title * 11. Are you a monthly donor? Yes No If no, indicate if you would like more information about monthly giving by providing your email address. OK Question Title * 12. Would you consider putting Heart House Hospice in your will? Yes No If you responded yes, please provide us with your email address so that we can provide you more information. OK Question Title * 13. Please feel free to add any comments and suggestions below. OK SUBMIT