EXIT 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 a family member/friend with a disability I have seen first-hand the work that Northcott does and I wanted to support it myself Other (Specify) Continue... 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. Continue... 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 Continue... Question Title * 4. Do you receive enough information about how your gift is used and the impact it achieves for people with disability? No Yes Comments Continue... 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? Continue... 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 would like to be sent information about leaving a gift in my Will. I would like someone to call me to discuss gifts in my Will. I have included a gift in my Will to Northcott. Not interested. Continue... 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) Continue... Question Title * 8. Is there anything else you would like to share with us? Continue... Question Title * 9. Name, address and contact details Name Address Address 2 Suburb / Town State Postcode Email Address Phone Number Continue... DONE
