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* 1. Contact Information:

* 2. How many years have you supported programs & services at Providence through a gift to the Providence Alaska Foundation?

* 3. What programs and services throughout Providence Health & Services Alaska do you choose to support:

* 4. Rate the following forms of communication from the Providence Alaska Foundation:

  Great Good Fair Poor n/a
Direct mail
Annual report
Gifts in action newsletter
e-news
Providence Alaska Foundation website
Providence Alaska Medical Center Facebook page

* 5. What is the most meaningful way that the Providence Alaska Foundation can thank and recognize you as a donor?

* 6. Have you considered making a planned gift to support programs & services at Providence?

* 7. Please rate the following statements regarding the Providence Alaska Foundation:

  Strongly Agree Agree Neutral Disagree Strongly Disagree N/A
Providence is grateful for my donation.
Foundation staff are always willing to help.
Foundation staff responds promptly.
Providence asks for my financial support with appropriate frequency.
I feel like I know how my donation is being used.

* 8. I am interested in receiving targeted information about my area of interest:

* 9. I prefer email communications to receiving updates via the mail:

* 10. Please provide your phone/email if you would like to be contacted by a member of the Foundation staff:

You may also contact the Foundation directly at 907-212-3600 or foundation@providence.org

Thank you for your feedback!

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