| 1. Your age range: | | | |
| Under 18 | 30-39 | 60-69 | |
| 19-24 | 40-49 | Over 70 | |
| 25-29 | 50-59 | | |
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| 2. Gender: | | | |
| Female | Male | | |
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| 3. I currently live in: | | | |
| Cambridge | | | |
| Kitchener - Waterloo | | | |
| Other | | | |
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| 4. I currently work in: | | | |
| Cambridge | | | |
| Kitchener - Waterloo | | | |
| Other | | | |
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5. I am a Workplace Donor or Community Donor and | | |
| I contribute to United Way through my workplace campaign on payroll deduction | |
| I contribute to United Way as a community donor by either sending my donation in through the mail, or phoning my donation in to the office | |
| Other: | |
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6. My annual donation to you, the United Way of Cambridge and North Dumfries, is: | | |
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| | Benefactor | $25,000 + | | | Builders | $10,000 to $24,999 | | | Patrons | $5,000 to $9,999 | | | Sponsors | $2,500 to $4,999 | | | Founders | $1,500 to $2,499 | | | Leaders of the Way | $1,000 to $1,499 | | | Friends of the Way | $500 to $999 | | | Everyday Hero | $365 to $499 | | | Other: | |
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7. How long have you been a donor to United Way? | |
| Last year was my first year donating | |
| I have been donating for 2-4 years now | |
| I have been donating for 5-8 years now | |
| I have been donating 9-15 years now | |
| I have been donating for more than 16 years to United Way | |
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8. Your computer usage is: | | |
| I use my computer moderately [2-3 times per week] | |
| I use my computer daily | |
| I don’t have access to a computer | |
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9. My preference for charitable giving is: | |
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10. How would you like us to thank you? [please check all that apply] | |
| I enjoy being listed in the annual Leadership Honour Roll I would appreciate a thank you phone call from a United Way staff or volunteer I enjoy attending a recognition event I appreciate being listed on the Leadership page of liveunited.ca I would like a token of appreciation i.e. a United Way pin or plaque I appreciate receiving a thank you letter in the mail I prefer not to have any contact from United Way Other: | |
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11. What communication topic do you [or would you] most enjoy receiving from United Way Cambridge? [please select your top three] | |
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12. Have you considered including United Way in your will? | |
| Most Charitable organizations rely on the generosity of supporters who also remember them in their will. Have you remembered the United Way of Cambridge and North Dumfries in your will? | |
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| Your view of the United Way Organization: | |
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1. Do you feel that the United Way of Cambridge and North Dumfries helps create positive change in our community? | |
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2. Do you feel that the United Way of Cambridge and North Dumfries is visible in the media and has a community profile? | |
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3. Top of your mind: What are your top 3 charities of choice? | |
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| 1. 2. 3. | |
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4. Please indicate which column your opinion falls into for each of the following statements: | |
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| Your passion: | |
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- 1. Which issue do you feel is most pressing in our community?
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| Children and youth reach their potential Families are strong Newcomers are welcomed and supported People are economically secure Neighbourhoods are inclusive and thriving Other: | |
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- 2. Do you feel United Way addresses the above issues?
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Yes – comments: | |
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3. Other than supporting our work financially, we’d love to know what other interaction you’ve had with the United Way of Cambridge and North Dumfries [please select all that apply] | |
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- I have volunteered with a United Way Partner Agency
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4. Why do you contribute to United Way? Tell us. | |
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| In your opinion, how can we do better? | |
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| 1. What do you think the United Way of Cambridge and North Dumfries could more to engage people and mobilize collective action? | |
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2. What is one thing that the United Way of Cambridge and North Dumfries could do to continue increasing your loyalty / commitment to us? | |
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| In order to be entered into our draw for a Dinner for Two, please indicate your: | |
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