Invitation To Co-Create & Provide Feedback Survey

1.Please select the following ways you have engaged with Eliana's Light to date

Other (please specify)

2.Why did you choose to support Eliana's Light?

3.How do you prefer to receive communications from Eliana's Light?

Email

Phone call

Meeting

Social media

4.How frequently do you receive communications from Eliana's Light?

Too often

At a rate that works well for me

Not often enough

5.How would you like to be involved moving forward?

As a financial or in-kind partner

As a volunteer

As an advisor

As a pro-bono professional consultant

As a contributor of resources for Eliana's Light's website

Other (We look forward to hearing your thoughts, including whether you've had a meaningful experience with Eliana's Light.)

6.Please select any of the following 2018-2019 community- and volunteer-based initiatives we're organizing in which you'd like to be involved.

Race for Every Child (for Children's National Medical Center) (Oct. 22, 2018)

Valentine's Day Cards For Kids & Cookies For Caregivers (Jan-Feb 2019)

Mother's Day Gift Package Making (for moms who need to spend Mother's Day in the hospital to care for their child) (Apr-May 2019)

Father's Day Gift Package Making (for dads who need to spend Father's Day in the hospital to care for their child) (May-June 2019)

Other (please specify)

8.Please share your name and email address if you'd like, and if you want to be included in the raffle for an Apple watch.

Name

Company/Organization

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

9.We welcome any feedback, ideas, and/or suggestions you may have! Please share below.