YOUR VOICE MATTERS Thank you for taking the time to complete this 2 minute survey. Question Title * 1. What is your name? Question Title * 2. What’s the best email address to reach you? (So we can follow up with you if needed!) Question Title * 3. I/We am/are interested in learning more about the American Diabetes Association’s work with: Type 1 diabetes (T1D). Type 2 diabetes (T2D). Both T1D and T2D. Gestational diabetes. Prediabetes. Youth camps. Research. Advocacy. Education. Question Title * 4. Why do you support the American Diabetes Association? I have diabetes. My family has a history of diabetes. I know someone with diabetes. I believe in the mission of the American Diabetes Association to prevent and cure diabetes. Other (please specify) Question Title * 5. What is important when you support the American Diabetes Association? Research is improving lives. Advocacy is a champion for legislation to help people with diabetes. The American Diabetes Association is a Four Star Charity. I want to be part of finding a cure to end diabetes. To honor a loved one. Being recognized for my contributions and support. To make lives better for people living with diabetes. Question Title * 6. I/We have included the American Diabetes Association in my/our plans by: Making a gift through a will or trust. As a beneficiary of my/our retirement or other financial accounts. Question Title * 7. Please send me more information about: Leaving a legacy in my/our will or trust. Leaving retirement or other financial accounts. Giving with an IRA. Gifts that pay back during a lifetime. Gifts of stock, mutual fund, or other securities. Question Title * 8. Our legacy society honors those who have included the American Diabetes Association in their will or other long-range plans. When you make this important commitment, you are invited to become a member of our legacy society. We wish to be recognized as a legacy society member. I/We wish to be recognized as a legacy society member, but remain anonymous. I/We would enjoy sharing my/our story of diabetes to inspire others, please contact me. Question Title * 9. My/Our preferred form of communication is: USPS Email Telephone Done
