1. Contact details
Please note that fields marked * are mandatory
Name
*
First Name
Last Name
Email
*
example@example.com
Supporter ID (note: you can find this number at the top of your letter/email).
Mobile
Home phone
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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2. You would have received a copy of our latest Wesley Impact! News. Overall how do you find this newsletter:
Yes
No
Easy to read
Relevant
Interesting
3. What type of updates would you like to see from us in the future?
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4. Why do you support Wesley Mission? Tick all that apply
I believe in the good work of Wesley Mission.
My faith motivates me to help others.
I believe I have a responsibility to those in need.
I believe Wesley Mission uses donations wisely.
I have/my family has been helped by Wesley Mission.
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5. Wesley Mission supports people in many types of crisis or ongoing need. Which areas of support are you most interested in? Tick all that apply
People who are experiencing homelessness.
Suicide prevention services e.g. Lifeline Sydney & Sutherland.
Mental health programs.
Disadvantaged children and families.
Children with disabilities.
Other.
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6. Gifts left to Wesley Mission by supporters in their Wills are among the most helpful ways to support vulnerable people in our community. Which of the following statements best describes your situation?
I have already included Wesley Mission in my Will
I’m considering including Wesley Mission in my Will and would like more information
I have a Will and included charities, but have not included Wesley Mission
I have a Will but have chosen not to include charities
I do not have a Will
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7. Regular, monthly donations help us respond quickly to the most urgent needs in our community. Would you be interested in joining our monthly giving program?
I already donate every month
I’m considering becoming a regular monthly donor and would like more information
I’m not interested at this time
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8. Would you be interested in getting involved in other ways? If so, how? E.g. volunteering
9. Your birthday OR year of your birth:
10. What is your gender?
Male
Female
Other
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11. Which of these best describes your relationship status?
Single
Married/defacto
Widowed
Other
12. Do you have:
Yes
No
Children
Grandchildren
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13. Which of the following describes your work status? Tick all that apply
Working full-time.
Working part-time / casual.
Self-employed.
Homemaker.
Retired.
Unemployed.
Student.
Other.
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14. What religious family do you belong to or identify yourself as being closest to?
Christian (Catholic, Protestant or other Christian denominations)
Hindu
Jewish
Muslim
I am not religious
I’d rather not say
Other
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15. Please tell us about your interests and hobbies:
Gardening.
Cooking.
Reading.
Sports.
Travelling.
Other.
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16. What other causes are important to you? Tick all that apply.
Animal rights, welfare and services.
Arts and culture.
Education.
Environment.
Health/ Medical research.
Human rights/ Advocacy.
International aid/ Humanitarian relief.
Religious groups.
Social and public welfare.
Other.
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17. What matters to you? Use the space below to tell us your thoughts and feelings about Wesley Mission. We promise to listen and follow up.
Submit
Should be Empty: