* 1. NAME OF YOUR ORGANIZATION:

* 2. CITY, STATE and COUNTY (County Where Your Office is Physically Located):

* 3. MISSION STATEMENT:

* 4. PLEASE CHECK ALL THAT APPLY WITH RESPECT TO YOUR ORGANIZATION'S PRIMARY FOCUS.

* 5. YOU ARE RECEIVING THIS FORM BECAUSE YOU ARE A PART OF THE DELIVERING GOOD COMMUNITY PARTNER NETWORK. PLEASE TELL US A LITTLE ABOUT THE ITEMS THAT WERE DONATED TO YOU.

* 6. APPROXIMATELY HOW MANY CHILDREN AND FAMILIES WILL BENEFIT FROM THIS DONATION?

* 7. WHAT WERE THE CRITERIA INVOLVED IN DECIDING WHICH FAMILIES RECEIVED THE DONATIONS FROM DELIVERING GOOD?  (Please check all that apply.)

* 8. PLEASE TELL US ABOUT HOW YOU DISTRIBUTE THESE DONATIONS (check all that apply)

* 9. ON A SCALE OF 1-3," WITH 1 REPRESENTING "NEEDS IMPROVEMENT", 2 "SATISFACTORY" AND 3 "EXCELLENT," PLEASE RATE THE FOLLOWING ELEMENTS OF YOUR INVOLVEMENT AS A DELIVERING GOOD COMMUNITY PARTNER:

* 10. IF YOU RANKED ANY OF THE ABOVE AS "NEEDS IMPROVEMENT," PLEASE SPECIFY WHY:

* 11. PLEASE RATE THE OVERALL REACTIONS TO THE ITEMS RECEIVED THROUGH THE DELIVERING GOOD NETWORK:

* 12. WHAT WOULD YOU SUGGEST TO MAKE THE DELIVERING GOOD COMMUNITY PARTNER PROGRAM BETTER?

* 13. IN ORDER FOR US TO KEEP OFFERING OUR COMMUNITY PARTNERS THE BENEFITS OF DELIVERING GOOD DONATIONS, IT IS VERY IMPORTANT TO RECEIVE FEEDBACK ON HOW THOSE ITEMS MADE A DIFFERENCE TO YOUR ORGANIZATION.  PLEASE TELL US ABOUT A MOMENT THAT REALLY AFFECTED YOU, YOUR STAFF OR VOLUNTEERS THAT OCCURRED DURING A RECENT DELIVERY OR DISTRIBUTION.

Thanks in advance for filling out and submitting this form in a timely manner. Please send any pictures, hand-made thank you cards or letters that capture your donation to Dennie Hughes, Community Partners Director, at dennie@donateproduct.com Please note all pictures, hand-made thank you cards or letters you send may be used on our site and other social media areas.
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