Brokenhead River Community Foundation
Thank you for taking the time to complete our donor survey. Doing so helps us to understand and support the needs of our community.
Name
*
First Name
Last Name
Email
*
example@example.com
Address
Physical Address
Mailing Address
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
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Why do you give to the Foundation? (select all that apply)
Sustainability - I know my gift will continue to help this community for future generations
In memory of a loved one
To support a specific scholarship/bursary/grant
Tax benefits
Other
How do you prefer to donate?
Cash
Cheque
E-Transfer
Credit Card
Transfer of Securities
Other
Would you like to receive donor recognition? (Check all that apply)
Donor Board displayed in Town
Community Newspaper
Do not want to be publicly recognized
Other
How much on an impact do you feel your gift has?
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Has the Foundation adequately shown our appreciation for your gift and how meaningful it is to us and the community?
Yes
No
If no, we apologize! What can we do to make you feel more appreciated?
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Do you support other causes?
Yes
No
If yes, which causes?
Which of our objectives gives you the most motivation to donate? (select all that apply)
To support and advance community activities or facilities of a charitable nature.
To assist and promote arts and cultural activities
To advance education through establishing scholarship funds and funding special educational projects
To support heritage and the environment
To support and advance the provision of medical and nursing services
To support recreation and sport
To promote the development of programs for children, youth, and seniors
To advance the welfare of the needy and to alleviate human suffering and poverty
How would you rate your donation experience?
Poor
1
2
3
4
Excellent
5
1 is Poor, 5 is Excellent
Do you have any questions/concerns about our organization?
Would you appreciate an annual e-newsletter?
Yes
No
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How likely are you to tell your friends and acquaintances about us?
Not likely
1
2
3
4
Very likely
5
1 is Not likely, 5 is Very likely
Is there anything that you would like us to implement next year?
What can we do to encourage you to renew your support?
Please verify that you are human
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