2016 Fairview Foundation and Ebenezer Society Foundation Donor Survey Question Title * 1. To what extent do you agree or disagree with the following statements? Strongly Agree Agree Neutral Disagree Strongly Disagree My gifts are appreciated. My gifts are appreciated. Strongly Agree My gifts are appreciated. Agree My gifts are appreciated. Neutral My gifts are appreciated. Disagree My gifts are appreciated. Strongly Disagree Fairview and Ebenezer do a good job sharing how my gifts are used. Fairview and Ebenezer do a good job sharing how my gifts are used. Strongly Agree Fairview and Ebenezer do a good job sharing how my gifts are used. Agree Fairview and Ebenezer do a good job sharing how my gifts are used. Neutral Fairview and Ebenezer do a good job sharing how my gifts are used. Disagree Fairview and Ebenezer do a good job sharing how my gifts are used. Strongly Disagree I receive acknowledgement for my donation(s) in a timely manner. I receive acknowledgement for my donation(s) in a timely manner. Strongly Agree I receive acknowledgement for my donation(s) in a timely manner. Agree I receive acknowledgement for my donation(s) in a timely manner. Neutral I receive acknowledgement for my donation(s) in a timely manner. Disagree I receive acknowledgement for my donation(s) in a timely manner. Strongly Disagree I am satisfied with the level of recognition I currently receive for my gifts. I am satisfied with the level of recognition I currently receive for my gifts. Strongly Agree I am satisfied with the level of recognition I currently receive for my gifts. Agree I am satisfied with the level of recognition I currently receive for my gifts. Neutral I am satisfied with the level of recognition I currently receive for my gifts. Disagree I am satisfied with the level of recognition I currently receive for my gifts. Strongly Disagree (Optional) Comments: Question Title * 2. What interest area(s) inspire you to give? (Please check all that apply.) Cancer care/Oncology Chemical dependency Community health and outreach Ebenezer Emergency services Heart care Hospice Mental health Orthopedics/Sports medicine Senior services Spiritual care and clinical pastoral education Wellness Women's health Youth Grief Services Other (please describe) Question Title * 3. What most motivates your health care giving? (Please check one.) Direct patient care and comfort Research and innovation Gratitude for care and services received Comfortable facilities/rooms and state-of-the-art equipment Question Title * 4. With which Fairview community hospital or clinic do you most strongly identify? Fairview Lakes Medical Center (Wyoming) Fairview Maple Grove Medical Center Fairview Northland Medical Center (Princeton) Fairview Ridges Hospital (Burnsville) Fairview Southdale Hospital (Edina) I don't identify with a particular hospital Fairview Clinic or Other (please specify) Question Title * 5. Please indicate your interest level in attending the following kinds of events: Very interested Somewhat interested Neutral Probably not interested Definitely not interested Behind-the-scenes tour Behind-the-scenes tour Very interested Behind-the-scenes tour Somewhat interested Behind-the-scenes tour Neutral Behind-the-scenes tour Probably not interested Behind-the-scenes tour Definitely not interested Speaker/lecture series Speaker/lecture series Very interested Speaker/lecture series Somewhat interested Speaker/lecture series Neutral Speaker/lecture series Probably not interested Speaker/lecture series Definitely not interested Donor recognition event Donor recognition event Very interested Donor recognition event Somewhat interested Donor recognition event Neutral Donor recognition event Probably not interested Donor recognition event Definitely not interested Gala/fundraising luncheon Gala/fundraising luncheon Very interested Gala/fundraising luncheon Somewhat interested Gala/fundraising luncheon Neutral Gala/fundraising luncheon Probably not interested Gala/fundraising luncheon Definitely not interested Webinar with health expert Webinar with health expert Very interested Webinar with health expert Somewhat interested Webinar with health expert Neutral Webinar with health expert Probably not interested Webinar with health expert Definitely not interested Question Title * 6. How do you prefer to receive information from Fairview and Ebenezer? (Check all that apply.) Print/mail Email Social media Website Question Title * 7. Are Fairview and/or Ebenezer named in your estate plan? Yes No Question Title * 8. There are ways to provide for your family while still making a planned gift to Fairview and/or Ebenezer. Would you like to speak with a foundation representative about planned giving options? No Yes. The best way to reach me is... Question Title * 9. Will you share a few words about why you choose to give? Thank you for your time and generosity! Done