YOUR VOICE MATTERS
Thank you for taking the time to complete this 2 minute survey.
1.
What is your name?
2.
What’s the best email address to reach you? (So we can follow up with you if needed!)
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.
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)
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.
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.
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.
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.
9.
My/Our preferred form of communication is:
USPS
Email
Telephone