Barwon Health Foundation Supporter Survey 2023 Question Title * 1. Were you aware Barwon Health Foundation is a charity governed by a passionate, community focused board of highly skilled prominent Geelong community leaders? Yes No Question Title * 2. Barwon Health Foundation is a multi-focussed charity which works to support Barwon Health to prevent, care and cure. Which area(s) of our work are you most passionate about? Cancer care Women & children's health Cardiology Medical research/clinical trials Mental health University Hospital Geelong Supporting area of greatest need Equipment funding Emergency care Aged care Patient wellbeing Staff wellbeing Endocrinology Neurology Maternity Palliative Care Rehab Other (please specify) Question Title * 3. Quality research is truly embedded in every aspect of care across Barwon Health. Would you like more information on donating towards research? Yes No Question Title * 4. Which of the following statements describes your relationship with the Barwon Health Foundation? I have received care at Barwon Health I have a loved one that received care at Barwon Health I am a Barwon Health care giver I know a Barwon Health care giver I attended an event in support of Barwon Health Foundation I believe supporting our community’s local public health service is important I feel connected to Barwon Health for another reason... Question Title * 5. What do you most enjoy reading about? Current fundraising focuses and opportunities Recent funds raised Patient stories Supporter recognition Latest medical research and innovation Question Title * 6. Do you follow any Barwon Health Foundation social media pages? Yes No I am not active on social media Question Title * 7. Do you or your family belong to any business, civic or social clubs? Question Title * 8. What usually prompts you to make a donation? When I receive an appeal in the mail/email When I see a social media post When I receive a newsletter When the end of financial year is approaching When I attend an event When I visit a Barwon Health site When an anniversary of importance approaches When I read/hear a media report on my area of interest Other (please specify) Question Title * 9. If you’ve recently visited a Barwon Health site, have you seen any information about the Foundation? Yes No Unsure I have not recently visited Barwon Health Which site did you visit? Question Title * 10. We understand our donors may support multiple causes. Do you support any other charities? Yes No Question Title * 11. Many of our donors nominate regular dates and amounts for their giving, which can be easily automated. For example, you may wish to nominate a monthly or quarterly contribution to your area of interest. Would you be interested in becoming a regular giver? I am a regular giver Yes, I would be interested in becoming a regular giver, please contact me with details No, I am not interested in becoming a regular giverat this time Question Title * 12. Many of our donors, after ensuring loved ones are provided for in their Will, also choose to reflect on the causes and organisations that are meaningful to them and include a charity. Please tick the box that best describes how you feel about supporting us in this way: I would like to learn more about gifts in Wills and the impact they can have. Please contact me. Barwon Health Foundation is already included in my Will I have included a different charity or organisation in my Will I do not currently have a Will I do not wish to include Barwon Health Foundation in my Will I do not wish to say OR a specific Barwon Health service is already in my Will: Question Title * 13. Please tick the box which corresponds with how you feel about the following statement:I consider Barwon Health Foundation to bemy local charity of choice. Strongly Disagree Disagree Neutral Agree Strongly Agree Strongly Disagree Disagree Neutral Agree Strongly Agree Question Title * 14. Is there anything else we can do for you as a valued supporter? Question Title * 15. Have you, or a loved one, had a meaningful experience at Barwon Health that you would be willing to share with us? If so, please detail your story below or alternatively provide your phone number or email address and we will endeavour to be in touch. Question Title * 16. Please complete Name Email Address Phone Number Question Title * 17. Date of Birth Done