Sample Mail Survey

 

American Red Cross

Community Inquiry

1.  How familiar are you with the American Red Cross Southern Arizona Chapter?

       ___Very Familiar  ___Somewhat Familiar ___Not at all Familiar

Comments:___________________________________________

 

2.  The following is a list of the services that the Red Cross provides here in Southern Arizona, which services, if any, were you not aware of?

          __Disaster Services            __CPR & First Aid 

          __Water Safety Training     __International Services

         __HIV/AIDS Education  __Armed Forces Emergency Services  

         __Regional Blood Program

Comments:__________________________________________

 

3.     Did you know that currently the Southern Arizona Chapter and the Regional Blood Program divisions of the American Red Cross are housed in separate buildings here in Tucson?

                        ___Yes            ___No             ___Not Sure

Comments:__________________________________________

 

4.     How important do you feel it is to continue expansion and advancement in programs and facilities of the American Red Cross in the Southern Arizona Region?

            __Very Important     __Somewhat Important      __Not Important

Comments:__________________________________________

 

5.     Are you aware of the number of local families that the Red Cross helps each year?

                        __Yes                          __No

Comments:_________________________________________

 

6.     How strong is the image of the American Red Cross in your community?

            __Very visible; well known and respected; one of the premier non-profits

            __Fairly well recognized; not as visible as some other organizations

            __ARC has a fairly low profile in my community

Comments:_________________________________________

  

7.     How supportive are you of the Red Cross Southern Arizona Chapter starting a capital campaign to raise $2 million for a new facility?

 __Very supportive        __Somewhat Supportive  
 __Not Supportive         __Need more information

            Comments______________________________________________

            ________________________________________________________

 

This is NOT a solicitation—for statistical purposes only.

 

8.  If you were convinced that the Red Cross should launch a capital
campaign, what  level gift would you consider making?

            __$5,000 per year for 5 years

            __$2,500 per year for 5 years

            __$1,000 per year for 5 years

            __$500 per year for 5 years

            __$250 per year for 5 years

            __$100 per year for 5 years

            __$50 per year for 5 years

            __Other

 

8.     Do you know of any individuals who may be good leaders or prospective donors for a capital campaign for the American Red Cross?

            If yes, please list names:

            _______________________________________________________

            ________________________________________________________

            ________________________________________________________

 

Name___________________________________________________

Address_________________________________________________

City_________________  State______  Zip_________ 

 Phone_____________________

  

 

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