Seva Foundation Legacy Survey

1. Your Feedback

Thank you so much for taking a moment to complete the following survey and offering us your valuable opinions. It will only take you a few minutes and your feedback will help Seva plan more effectively for the future. We will honor your privacy and keep your answers confidential.

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* 1. I support Seva because:

Because of its principles and “spirit of service” philosophy, and/or affiliation with founders like Ram Dass/ Larry Brilliant/ Wavy Gravy

I had eye surgery/ a member of my family had eye surgery or other eye care

I have diabetes/ a member of my family has diabetes

I am interested in Seva’s work with Native Americans to rebuild healthy communities

Seva has a unique model of working with and training local partners to find solutions for their own problems

Seva will use my gift to make the greatest impact in improving the lives of the most vulnerable communities at home and abroad

Other (please specify)

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* 2. I have supported Seva:

For up to 3 years

For up to 5 years

For up to 10 years

For more than 10 years

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* 3. I am most interested in the following work that you do:

Fund direct services such as cataract surgeries

Build capacity by training local eye care specialists

Ensure women and girls get the services they require

Create childhood blindness programs

Develop eye care facilities in remote, rural areas

Support Native American health initiatives

Build programs to support people throughout the world in their efforts to create and maintain healthy communities

Other (please specify)

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* 4. Seva is:

The top charity I support

Among the top 3 charities I support

Among the top 5 charities I support

Among the top 10 charities I support

Other (please specify)

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* 5. How important is our mission to you?

Very important

Important

Somewhat important

Not important

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* 6. In Seva’s Legacy Campaign, we will be asking donors to consider leaving a bequest to Seva Foundation in their Wills.
After you have provided for your loved ones, would you consider leaving a gift in your Will to Seva to help us provide for the basic needs of the most vulnerable people at home and abroad on into the future?

Yes, I would consider it

I have already left a gift to Seva Foundation in my Will

Unsure at this time

If No, or if you are Unsure, what prevents you from considering a bequest in your Will at this time?

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* 7. Are you aware that if you leave a charitable bequest in your Will it will reduce the taxes your Estate has to pay?

Yes

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* 8. Would you like to receive more information on the Seva Legacy Campaign?

Yes