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Donor Survey
1.
What is your age group?
20-49
50-65
over 65
2.
What is your gender?
Female
Male
Other
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.
4.
How often should we send you information?
Monthly
Twice a year
Yearly
Whenever available
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.
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)
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)
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
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
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.
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.
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.
13.
Please feel free to add any comments and suggestions below.
Current Progress,
0 of 13 answered
