Thank you for your interest in Hope Street’s Celebrate a Family program. Please complete this survey no later than Tuesday, December 6, 2022. Upon review, a member of our staff will contact you to provide information about the family you'll be supporting. We thank you for your interest and generosity in supporting Dignity Health - California Hospital Medical Center (CHMC) and Hope Street Margolis Family Center. To learn more about Hope for the Holidays, visit supportcaliforniahospital.org/hope-for-the-holidays.

Question Title

* 1. Please enter your contact information

Question Title

* 2. The suggested amount to spend per family member is $100. What size family would you be most comfortable supporting this year (including parents)? If you are open to any family size, please write "Open."

Question Title

* 3. How did you hear about Hope for the Holidays?

Question Title

* 4. If you are interested in learning more about CHMC, please share which of the following ways you'd prefer for us to share information. (select all that apply)

T