Survey_AR20 - United Way

Name *

First

Address *

Last

Email *

Phone # *

Date of Birth *

What name do you prefer for our Honor Roll? (Please provide spouse name as well if desired) *

Please leave checked to be anonymous *

1. Which Impact Areas or initiatives are most important to you? (Please check all that apply) *

Other Impact Area

2. Which type of acknowledgement do you prefer? *

3. I prefer receiving communications: *

4. Our communications with you are: *

Too much; I can't keep up.

Too little; tell me more!

Just right

5. Why is the United Way one of your charitable priorities? *

6. Why do you personally give to the United Way *

Tradition

Care about the cause

Local impact

Trustworthy organization

Other reason for giving

7. How do you prefer to make your gift? (Please choose as many as apply) *

8. On a scale of 1-5 how much of an impact do you feel your contribution makes? (1=very little, 5=very much) *

9. What other causes are important to you? *

Other cause

10. How would you rate your donation experience? (1=poor, 5=excellent) *

11. What would you like to tell us? *

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