Shalom Village Foundation - Getting to Know You Survey Getting to know you. Question Title * 1. How satisfied are you with the service and responsiveness of the Foundation Team? Very Satisfied Satisfied Dissatisfied Not Applicable/Undecided Question Title * 2. How satisfied are you with the communications you receive about the programs and services at Shalom Village? Very Satisfied Satisfied Dissatisfied Not Applicable/Undecided Question Title * 3. What inspires you to support Shalom Village? (select as many as apply) I have a friend or relative who is/was a resident at Shalom Village I have a friend or relative who participates (or previously particated) in Shalom non-resident programs at Shalom Village I want to support programs for seniors I want to support specific research initiatives or projects at Shalom Village I am a resident at Shalom Village I am a participant in non-resident programs at Shalom Village I am not a donor Other (please specify) Question Title * 4. We are sincerely grateful for your support and want you to know just how valued you are. What sort of stewardship/recognition would be most meaningful for you? (Indicate as many as you like) Newsletters with updates on Shalom Village A donor update report showing how your support is making a difference A tour of the Shalom Village An annual recognition lunch/dinner Personal notes, holiday cards, birthday cards and articles on your area of interest Your name included in an annual donor listing A personal visit from a Foundation staff member to thank and update you on how your support is making a difference Your name displayed on a donor wall Free information sessions on important health care topics A phone call with a verbal thank you A donor recognition gift to symbolize your support Free information sessions from lawyers, accountants, financial planners and other experts on estate planning Other (please specify) Question Title * 5. Of all the charitable causes you support, where would Shalom Village be on your priority list? High (Top 3) Medium (Top 10) Low (one of may charities I support) N/A - Not a donor Question Title * 6. What is your level of interest in making a planned gift to any charity? (examples: bequest in your will, gift of securities, beneficiary on RRSP/RRIF) Considering it Have already done it Unsure at this time Not interested Question Title * 7. Which of the following benefits of charitable giving are most important to you? (choose top 3) Knowing that the charitable cause I believe in will be supported into the future Setting an example to those closest to me that charitable giving creates a better society Tax considerations through the provision of a charitable receipt on my final tax return Tax considerations during my lifetime A combination of knowing I can support charitable causes that are important to me while benefiting through tax savings I personally feel better knowing that I have made a difference – it feels good to give. Other (please specify) Question Title * 8. Which of the following opportunities are you most interested in? (Check all that apply) Receive a tour of Shalom Village Attend an expert presentation on a relevant seniors programs and/or research Invitation to a Q&A with Shalom Village board members Invitation to signature Shalom Village events Attend a seminar showing the many donation options available and the financial benefits of each. (How to save on taxes, how to give through various financial vehicles, etc.) Attend a seminar on health and nutrition tips for seniors Other (please specify) Question Title * 9. We'd like to be able to recognize our donors who pledge to leave a legacy gift. In which ways would you appreciate having your gift acknowledged? (Check all that apply) Name in a newsletter or publication A thank you letter A thank you call Name recognized at Shalom Village (i.e. legacy specific donor wall) A small token of thanks Other (please specify) Question Title * 10. I Identify as the following gender. Male Female Question Title * 11. Which of the following best describes your current relationship status? Married Widowed Divorced Separated In a domestic partnership/commonlaw Single Question Title * 12. What is your age? 20-49 50-64 65-79 80+ Question Title * 13. How long have you been aware of Shalom Village? Less than 1 year 1 - 3 years 4 - 6 years 7-9 years 10+ years Question Title * 14. I identify as? Jewish Catholic Protestant Other (please specify) Question Title * 15. What is your approximate average household income? $0-$49,999 $50,000-$79,999 $80,000-$99,999 $100,000-$129,999 $130,000+ Question Title * 16. If you have additional feedback you would like to share, please add your comments below. Question Title * 17. What is your first name? Question Title * 18. What is your last name? Question Title * 19. What is your home address? (please include street address, city and postal code) Question Title * 20. What is your email address? Question Title * 21. What is your phone number? (please include area code) THANK YOU for taking the time share your feedback with us.As part of our mission to honour our mothers and fathers, we are asking donors to consider leaving a bequest to Shalom Village in their will. After providing for loved ones, we hope you will consider leaving a gift to the Foundation. Contact Laurie Pringle, Manager – Donor Engagement.For more information about the giving to the Shalom Village Foundation: Laurie.Pringle@ShalomVillage.ca or via phone at: 905-529-1613 X227. Done