Participation Form

Bethlehem House needs your help. We are conducting focus groups to learn about the philanthropic interests and views of our donors and potential donors to understand why individuals contribute and what motivates them to share their time, talent and treasure with us. 

We are conducting five (5) focus groups to:
  • Obtain deeper insights and diverse perspectives related to a wide range of topics related to our organization.

  • Gather authentic data from a group of people for problem-solving.

  • Increase participation among stakeholders to foster and retain donor loyalty.

  • Provide ideas for tailored marketing materials and communications.

Complete the participant info below and select the best generation that describes you. We will form focus groups according to your generation. We can only accept between eight (8) and 10 people per group. All focus groups will be held at the Bethlehem House 1115 Parkway Street in Conway, AR from 5:30 - 7:30 p.m. Dinner will be served.

For more information, contact Kristy Carter, Board Member, at 501.428.6382 or or visit:

* 1. How familiar are you with the Bethlehem House mission?

* 2. How likely is it that you would recommend the Bethlehem House as a worthy cause to support to your friends and colleagues?

* 3. How much of an impact do you feel your donation makes?

* 4. Select the group that best describes your generation. The corresponding date indicates the date of your focus group.

* 5. What is the highest level of school that you have completed?

* 6. Which race/ethnicity best describes you? (Please choose only one.)

* 7. How did you hear about this focus group?

* 8. Please provide your contact information below: