Shalom Village Foundation - Getting to Know You Survey

Getting to know you.

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* 1. How satisfied are you with the service and responsiveness of the Foundation Team?

Very Satisfied

Satisfied

Dissatisfied

Not Applicable/Undecided

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* 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

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* 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)

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* 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)

A phone call with a verbal thank you

Newsletters with updates on Shalom Village

Your name displayed on a donor wall

A donor update report showing how your support is making a difference

Free information sessions on important health care topics

A donor recognition gift to symbolize your support

An annual recognition lunch/dinner

Personal notes, holiday cards, birthday cards and articles on your area of interest

A personal visit from a Foundation staff member to thank and update you on how your support is making a difference

Your name included in an annual donor listing

A tour of the Shalom Village

Free information sessions from lawyers, accountants, financial planners and other experts on estate planning

Other (please specify)

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* 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

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* 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

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* 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)

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* 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)

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* 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)

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* 10. I Identify as the following gender.

Male

Female

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* 11. Which of the following best describes your current relationship status?

Married

Widowed

Divorced

Separated

In a domestic partnership/commonlaw

Single

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* 12. What is your age?

20-49

50-64

65-79

80+

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* 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

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* 14. I identify as?

Jewish

Catholic

Protestant

Other (please specify)

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* 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+

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* 16. If you have additional feedback you would like to share, please add your comments below.

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* 17. What is your first name?

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* 18. What is your last name?

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* 19. What is your home address? (please include street address, city and postal code)

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* 20. What is your email address?

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* 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.