LifeGift Calendar / Annual Report Questionnaire - August 2014

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* 1. Have you received the annual LifeGift calendar?

Yes

No

Question Title

* 2. Do you keep and/or display your LifeGift calendar?

Yes, I hang it on my wall

Yes, I keep it on my desk or table

Yes, I file it away in a drawer

No, I don't keep my calendar

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* 3. Do you write on your LifeGift calendar?

Yes

No

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* 4. Do you use your LifeGift calendar to reference holidays?

Yes

No

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* 5. Would you go to the LifeGift website (www.LifeGift.org) to learn more about the personal stories featured in the calendar?

Yes

No

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* 6. How often do you use QR codes?

Never

Rarely

Sometimes

Often

Not sure; what is a QR code?

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* 7. Would you use QR codes in the LifeGift calendar if they linked to web pages about the personal stories featured?

Yes

No

Maybe, but I don't know how to use QR codes

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* 8. Have you registered with Donate Life Texas to become an organ and/or tissue donor?

Yes

No

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* 9. How do you describe your connection to LifeGift? Select all that apply:

LifeGift Donor Champion

Organ or tissue transplant recipient

Member of donor family

LifeGift employee

LifeGift volunteer

LifeGift Workplace Partner

Hospital staff member