Northcott Donor Survey

Question Title

* 1. What inspired you the most to support people with disability?

I would like to help others have a better quality of life

I have seen first-hand the work that Northcott does and I wanted to support it myself

I have a family member/friend with a disability

Other (Specify)

Question Title

* 2. Which Northcott service/s are you most interested in supporting?

I like to assist children with disability to receive essential therapy.

I want to help families get respite care for their loved ones.

I wish to support young adults with life skills so they become independent.

I like to empower young adults to get ready for the job market.

Question Title

* 3. How effective do you think your donations are towards supporting people living with disability?

Very Effective

Effective

Neutral

Ineffective

Very Effective

Effective

Neutral

Ineffective

Comments

Question Title

* 4. Do you receive enough information about how your gift is used and the impact it achieves for people with disability?

Yes

Comments

Question Title

* 5. How satisfied are you that your donations are making a positive change to someone's life?

Very satisfied

Somewhat satisfied

Somewhat dissatisfied

Very dissatisfied

Very satisfied

Somewhat satisfied

Somewhat dissatisfied

Very dissatisfied

Why did you rate as your did?

Question Title

* 6. A bequest is one of the most effective and long-lasting ways you can help. We understand it is a very personal decision. Please let us know if you are interested to know more about it.

I have included a gift in my Will to Northcott.

I would like someone to call me to discuss gifts in my Will.

I would like to be sent information about leaving a gift in my Will.

Not interested.

Question Title

* 7. What other type of charities do you support?

Health & Medical Research

Environment & Conservation

Education

Art & Culture

Animal Welfare

International Aid

Other (specify)

Question Title

* 8. Is there anything else you would like to share with us?

Question Title

* 9. Name, address and contact details

Name

Address

Address 2

Suburb / Town

State

Postcode

Email Address

Phone Number