Planned Giving Questionnaire Take a moment now to tell us a bit about your interest in PIH Canada in this quick questionnaire. OK Question Title * 1. Contact Information (Required.) Name Email Address OK Question Title * 2. Many PIH supporters have chosen to leave a future gift to PIH Canada. Would you consider a future gift in your estate plans (including your retirement account, will, trust, life insurance policy, etc.)? I've already done so. I plan to make a future gift. I'd like more information about making a future gift. No, thank you. OK Question Title * 3. Would you consider making a gift to PIH Canada using a charitable gift annuity, while at the same time securing guaranteed income for life? I've already done so. I plan to set up a life income gift with PIH. I'd like more information about life income gift. No, thank you. OK Question Title * 4. Which of the following priorities / global health issues most interest you? (Check all that apply) Maternal health Child health Infectious diseases (HIV/AIDS, TB, etc.) Chronic diseases (Cancer, mental health care, etc.) Other OK Question Title * 5. What or who inspired you to support PIH Canada? Family member Friend Mentor PIH staff or patient Your career or schooling Other (please specify) OK SUBMIT ANSWERS