Bethlehem House Focus Groups

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 kcarter3139@gmail.com or visit: bethlehemhouse.net

Question Title

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

Not at all familiar

Slightly familiar

Somewhat familiar

Moderately familiar

Very familiar

Not at all familiar

Slightly familiar

Somewhat familiar

Moderately familiar

Very familiar

Question Title

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

EXTREMELY UNLIKELY

UNLIKELY

NEUTRAL

LIKELY

EXTREMELY LIKELY

EXTREMELY UNLIKELY

UNLIKELY

NEUTRAL

LIKELY

EXTREMELY LIKELY

Question Title

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

A great deal

A lot

A moderate amount

A little

None at all (I've have never made a donation)

Question Title

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

Traditionalists (1945 and before) Tuesday, Sept. 26

Boomers (1946-1964) Thursday, Oct. 5

Generation X (1965-1976) Tuesday, Oct. 24

Millennials (1977-1995) Monday, Oct. 30

Centennials (1996 and later) Thursday, Nov. 2

Question Title

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

Primary school

Some high school, but no diploma

High school diploma (or GED)

Some college, but no degree

2-year college degree

4-year college degree

Graduate-level degree

None of the above

Question Title

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

American Indian or Alaskan Native

Asian / Pacific Islander

Black or African American

Hispanic

White / Caucasian

Multiple ethnicity / Other (please specify)

Question Title

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

Word of mouth (friend, colleague, etc.)

Board member

Advertisement (radio, newspaper, tv)

Social Media (Facebook, Twitter, etc.)

Mail

Staff Member

Other (please specify)

Question Title

* 8. Please provide your contact information below:

Name *

Company *

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address *

Phone Number *