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* 1. I have been a committed Limbs for Life supporter for:

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* 2. My age range is...

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* 3. Thinking specifically about Limbs for Life, how much do you agree with this statement?...Limbs for Life is filling the gap to assist amputees in need.

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* 4. How did you learn about Limbs for Life?

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* 5. What prompted your interest in our organization?

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* 6. Thinking specifically about Limbs for Life, what are your thoughts about giving (Questions#6-8)?   

...How easy or difficult is the process of donating? 

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* 7. ...Whenever I donate to Limbs for Life, I feel appreciated.

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* 8. ...Whenever I donate to Limbs for Life, I know how my money is used

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* 9. Please take a moment to let us know how we can improve our communication and partnership with you.

What is your preferred form of communication? (select all that apply)

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* 10. I'd like to learn more about Limbs for Life.  I'm most interested in the following areas: (select all that apply) 

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* 11. Your contact info (optional)

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* 12. Is there anything you'd like the Limbs for Life team to know?  Share any experiences, improvements, or thoughts you wish. 

THANKS FOR YOUR INPUT!

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