Please tell us what you think!
Thank you for your generous support of our Samaritan-affiliated hospital foundation(s) as a Samaritan Society member 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. How much do you appreciate the following types of recognition?

  Very much appreciated Somewhat appreciated Not appreciated
Note from foundation staff
Note from foundation board member
Phone call from foundation staff
Phone call from foundation board member
Invitation to events
My name listed in foundation publications
My name listed on a donor wall
Tour of the hospital or department
Meeting with hospital officials

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

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

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

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

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

* 10. Would you consider the hospital foundation to be among the top three charities that you support? Why or why not?

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

* 12. Optional

* 13. Please list your zip code:

* 14. Contact Information (Optional)

Thank you for your valuable feedback.