Bloodworks Donor Engagement Survey 1. Page 1 Question Title * 1. Do you feel that by supporting Bloodworks Northwest you’re making a difference? Yes No Question Title * 2. How did we meet? Was it at a party? Or through a mutual friend? Tell us. I was/am a blood donor. My family/friends have been impacted by the work happening at Bloodworks I'm family! (Former/Current employee, volunteer, or intern) I attended an event hosted by or benefiting Bloodworks Other (please specify) Question Title * 3. Why are you connected to the mission of Bloodworks? What is your story? Question Title * 4. What motivates your giving to Bloodworks? Please check all that apply. My community is my home. I want to do my part in improving the quality of life for all those living there. I'm interested in health equity and removing health disparities both at home and abroad. I'm interested in tomorrow's cures and how they affect my friends and loved ones. I feel blessed and wish to share with others. Other (please specify) Question Title * 5. What need or program are you most interested in supporting? Greatest needs of my community at any point in time Ensuring that blood is there and ready when I or a loved one needs it Improving patient care for those I care about most Finding cures for life-impacting bleeding disorders and disease Improving blood donation centers and bloodmobiles or adding new ones to meet the need Other (please specify) Question Title * 6. How often do you visit the Bloodworks website? Rarely Regularly 2-3 times a year Only to make a financial gift Only to schedule a blood donation Only when I need specific information about... Question Title * 7. Would you be interested in attending any of the following Bloodworks events? Please check all that apply. Bloodworks Ball (Annual fundraising gala) Women in Science (the coolest women you've never met!) Research Seminars (Mingle with World Renowned Scientists) Pop-Up Bloodworks (Easy science activities designed for the youngest to the wisest) Have an idea for an event you'd like to see us do? Tell us! Question Title * 8. Sustainable gifts pave the way for a future that is improved, connected and strengthened by the power of blood. Would you be interested in joining this exclusive group of pioneers? Yes Maybe.... Tell me more Not right now Question Title * 9. Which activity below do you feel could help you achieve your next level of impact? Introduce my friends to this cool organization by throwing a party! Save more lives by coordinating a blood drive Connect with other amazing Bloodworks advocates by volunteering Bloodworks has greatly impacted my life and I'd like to share my story with you. Create a legacy of impact through Bloodworks by including you in future will and trust planning Have other ideas? Share them! Question Title * 10. Here's your chance: Tell us something you've always wanted us to know. Question Title * 11. What is your age? 17 or younger 18-20 21-29 30-39 40-49 50-59 60 or older Question Title * 12. What is your gender? Female Male Prefer not to answer. Question Title * 13. What is the highest level of school that you have completed? Primary school Some high school, but no diploma High school diploma (or GED) Some college, but no degree 2-year college degree 4-year college degree Graduate-level degree None of the above Question Title * 14. Family information No children Have children Have children and grandchildren Have children, grandchildren and great grandchildren Question Title * 15. What is your name? Thank you for helping us keep our records up to date! Name Address Address 2 City/Town State/Province ZIP/Postal Code Email Address Phone Number Thank You!