Please tell us what you think!
Thank you for your generous support of our Samaritan-affiliated hospital foundation(s) in 2012. Please take a few moments to share your feedback with us.

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

* 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 does a good job of informing me of how my gifts are being used
I tell my friends and family that the foundation is worth supporting
I feel my gifts to the foundation are appreciated
Communication (such as newsletters) I receive from the foundation is interesting and informative

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

* 4. In 2013, how likely are you to:

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

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

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

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

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

* 10. Optional

* 11. Please list your zip code

* 12. Contact Information (Optional)

Thank you for your valuable feedback.