SHS-Affiliated Foundations Donor Survey 2015

Thank you for your generous support of our Samaritan-affiliated hospital foundation(s) in 2014. Please take a few moments to share your feedback with us.

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* 1. What prompted your gift to the foundation? (Check all that apply)

Positive experience as a patient, or friend/relative of a patient

Positive experience as an employee

To support the hospital's mission

Because I was asked

Special interest in a particular program or project

Gift in memory/honor/recognition of someone

Other (please specify)

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* 2. Please indicate how strongly you agree with the following statements:

	Strongly agree	Agree	Neutral	Disagree	Strongly disagree
The foundation quickly and accurately acknowledges my gift	The foundation quickly and accurately acknowledges my gift Strongly agree	The foundation quickly and accurately acknowledges my gift Agree	The foundation quickly and accurately acknowledges my gift Neutral	The foundation quickly and accurately acknowledges my gift Disagree	The foundation quickly and accurately acknowledges my gift Strongly disagree
The foundation does a good job of informing me of how my gifts are being used	The foundation does a good job of informing me of how my gifts are being used Strongly agree	The foundation does a good job of informing me of how my gifts are being used Agree	The foundation does a good job of informing me of how my gifts are being used Neutral	The foundation does a good job of informing me of how my gifts are being used Disagree	The foundation does a good job of informing me of how my gifts are being used Strongly disagree
I tell my friends and family that the foundation is worth supporting	I tell my friends and family that the foundation is worth supporting Strongly agree	I tell my friends and family that the foundation is worth supporting Agree	I tell my friends and family that the foundation is worth supporting Neutral	I tell my friends and family that the foundation is worth supporting Disagree	I tell my friends and family that the foundation is worth supporting Strongly disagree
I feel my gifts to the foundation are appreciated	I feel my gifts to the foundation are appreciated Strongly agree	I feel my gifts to the foundation are appreciated Agree	I feel my gifts to the foundation are appreciated Neutral	I feel my gifts to the foundation are appreciated Disagree	I feel my gifts to the foundation are appreciated Strongly disagree
Communication (such as the Impact Report) I receive from the foundation is interesting and informative	Communication (such as the Impact Report) I receive from the foundation is interesting and informative Strongly agree	Communication (such as the Impact Report) I receive from the foundation is interesting and informative Agree	Communication (such as the Impact Report) I receive from the foundation is interesting and informative Neutral	Communication (such as the Impact Report) I receive from the foundation is interesting and informative Disagree	Communication (such as the Impact Report) I receive from the foundation is interesting and informative Strongly disagree

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* 3. When making a gift donation to the foundation, what is most important for you to know? (Please check one)

How quickly and accurately my gift will be acknowledged (i.e. - a letter and/or phone call from the foundation)

How I will be recognized for my gift

Whether or not the foundation will keep me informed about how my gift is being used

Whether or not any of my gift will be used on overhead expenses

Whether or not the foundation will ask me for another gift too soon

Other (please specify)

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* 4. In 2015, how likely are you to:

Give to the foundation at a higher level than in 2014

Give to the foundation at the same level as in 2014

Give to the foundation at a lesser level than in 2014

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* 5. How do you prefer to make your gifts to the foundation? (Please check all that apply)

In person

At foundation events

Through the mail

Online (through secure foundation website)

Over the phone

Other (please specify)

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* 6. Where do you get most of your information about the foundation? (Please check all that apply)

Local newspaper

Heart to Heart magazine from Samaritan Health Services

Impact report that is mailed or emailed to me

Online updates

Events and meetings at the hospital

Word of mouth from people at the hospital

Other (please specify)

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* 7. Are you interested in receiving email updates and an email version of your annual giving statement from the foundation in the future?

Yes

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* 8. If you answered yes to question 7, please provide your email address. Your email address will not be shared with outside organizations.

Email Address:

SHS-Affiliated Foundations Donor Survey 2015

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* 1. What prompted your gift to the foundation? (Check all that apply)

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* 2. Please indicate how strongly you agree with the following statements:

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* 3. When making a gift donation to the foundation, what is most important for you to know? (Please check one)

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* 4. In 2015, how likely are you to:

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* 5. How do you prefer to make your gifts to the foundation? (Please check all that apply)

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* 6. Where do you get most of your information about the foundation? (Please check all that apply)

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* 7. Are you interested in receiving email updates and an email version of your annual giving statement from the foundation in the future?

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* 8. If you answered yes to question 7, please provide your email address. Your email address will not be shared with outside organizations.

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* 9. What else would you like us to know regarding your thoughts about the hospital and/or foundation?

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* 10. Optional

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* 11. Please list your zip code

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* 12. Contact Information (Optional)