Able Supporter Survey

Private and Confidential

Thank you so much for your kindness and support of Able Australia. We want to get to know you better and learn what is important to you. Please complete our survey by 29 September. Thank you for your time!

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* 1. Your contact details

Name *

Donor ID

Address *

Address 2 (optional)

City/Town *

State *

Post Code *

Date of birth

Email Address *

Mobile phone number

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* 2. Why do you give to Able?

I think people with disability have the right to live as independently as possible

I have a family member/friend who is living with deafblindness

I have a family member/friend who is living with disability

I have compassion for people with disability and want to support them

I received a letter from Able and wanted to support the organisation

Other (please specify)

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* 3. How can we best show you that your gift is meaningful to us?

Personal phone call

Thank you card

Receipt Only

Other (please specify)

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* 4. Able offers a variety of programs. Which are of interest to you?
(Please tick as many as you like)

Building beautiful homes suitable for people living with disabilities

Day Services and programs to build independence and learning

Art Therapy and other programs to help people express themselves

Activities to enable people to be part of the community

Recreational camps for people who are deafblind to get together

New digital technologies which assist people to be more independent

Meals & emergency relief for people in need

Transport and community services for seniors

Youth Programs

Deaflind research

Other (please specify)

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* 5. Would you be interested in coming to an event to find out more about our services?

Yes

Maybe

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* 6. When telling a friend about Able and why you support our work, what do you say?

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* 7. How much do you agree with each statement, with 5 being 'strongly agree' and 1 being 'strongly disagree'.
I am a committed Able supporter

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 8. I feel a sense of loyalty to Able

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 9. Able is my favourite charity

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 10. Gifts in Wills left to Able make an enormous impact on our ability to support people with disability. Would you like to leave a legacy gift in your Will to Able Australia?

Yes, I have already included Able in my will

I intend to include Able when I make or revise my will

I would like more information about leaving a gift in my will to Able

It's not something I am interested in right now, thank you

I am interested in attending a wills information event presented by experts

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* 11. Able:Community members support Able’s long-term work with people with disability through a monthly automatic donation from their credit card. Would you consider donating monthly?

I am already a monthly donor

Yes, I am interested in making regular donations- please contact me

Maybe, but I'd like some more information before deciding

Not right now, thank you

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* 12. Are you interested in learning more about the following ways you can support Able? (Please tick all that apply)

Asking for donations to Able instead of a present at your next birthday, anniversary or other celebration

Leaving a gift in my Will to Able

Making a significant donation of $1000 or more for a special project you are interested in.

Fundraising for Able through an event e.g. fun run or morning tea

Arranging gifts in memory for a loved one’s funeral

It’s not something I am interested in right now, thank you

Purchasing a raffle ticket

Able Supporter Survey

Private and Confidential

Question Title

* 1. Your contact details

Question Title

* 2. Why do you give to Able?

Question Title

* 3. How can we best show you that your gift is meaningful to us?

Question Title

* 4. Able offers a variety of programs. Which are of interest to you?(Please tick as many as you like)

Question Title

* 5. Would you be interested in coming to an event to find out more about our services?

Question Title

* 6. When telling a friend about Able and why you support our work, what do you say?

Question Title

* 7. How much do you agree with each statement, with 5 being 'strongly agree' and 1 being 'strongly disagree'.I am a committed Able supporter

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* 8. I feel a sense of loyalty to Able

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* 9. Able is my favourite charity

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* 10. Gifts in Wills left to Able make an enormous impact on our ability to support people with disability. Would you like to leave a legacy gift in your Will to Able Australia?

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* 11. Able:Community members support Able’s long-term work with people with disability through a monthly automatic donation from their credit card. Would you consider donating monthly?

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* 12. Are you interested in learning more about the following ways you can support Able? (Please tick all that apply)

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* 13. We always welcome feedback. Would you like to share anything with us?

* 4. Able offers a variety of programs. Which are of interest to you?
(Please tick as many as you like)

* 7. How much do you agree with each statement, with 5 being 'strongly agree' and 1 being 'strongly disagree'.
I am a committed Able supporter