NEW DONOR QUESTIONNAIRE

Your opinion is important to us!

We greatly value the support of our donors. In order to ensure that your needs are being served and that you are confident that the KGH Foundation is investing your generous gifts wisely, we have put together this brief questionnaire. Thank you for taking the time to help us serve you better.

All information will be kept confidential and used for the sole purpose of improving how we work with you. Please feel free to omit any questions you don not feel comfortable answering.

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* 1. Each year we distribute newsletters, an Annual Report and opportunities to support the KGH Foundation. How would you like us to communicate with you?

I am interested in hearing about the KGH Foundation's programs and activities throughout the year. I understand that I am not expected to respond to every mailing.

I prefer to receive only one communication each year

Please send all communications by e-mail only

Other (please specify)

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* 2. If you selected one communication each year, when you would prefer to receive it?

Spring

Summer

Autumn

Winter

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* 3. There are many ways to support Kelowna General Hospital and its associated facilities. Please check the boxes below if you are interested in receiving more information on:

Becoming a monthly donor

Making a bequest in your Will

Giving a gift in memory/tribute of a loved one or caregiver

Volunteer opportunities

Other

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* 4. Share your story! Tell us about your experience with KGH or why you chose to support advancing health care in our community.

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* 5. Please provide us with any further comments or suggestions.

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* 6. Your Spouse/Partner's Information (if applicable):

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* 7. How would you like us to address you? (e.g. Mr. and Mrs. Smith, Ms. Jane Smith, Jane, etc.)

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* 8. Contact Information

First and Last Name *

Company

Address

Address 2

City

Province

Postal Code

Country

Email Address *

Phone Number

Thank you for your time. As a supporter of the KGH Foundation, you are helping to ensure we can provide the best care possible to patients and families throughout our community for many years to come. We are so grateful for your generosity.

If you have any further questions or comments, please contact Emily Ball at 250-862-4300 x24876 or emily.ball@interiorhealth.ca.