2022 Supporter Connection Survey
Thank you for taking the time to help shape the future of CAPTAIN CHS! Please note your answers will be kept strictly confidential. We ask that you answer honestly.
About You
Please note we do not provide our donor contact information to any company or organization.
Your Name
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First Name
Last Name
We get really frustrated when organizations get my personal details wrong. We would love to have correct contact information for you so that we don’t do that! Please provide your address and we will check that your details are up-to-date.
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is there a spouse or significant other that should be included on your account? If so, please include their name below.
First Name
Last Name
Many of our supporters are already very happy to receive news by phone. We love to call and thank people personally if we can, and we may call you to give specific updates and news on projects and programs our donors have supported. Can you make sure your number is accurate by sharing it here?
Please enter a valid phone number.
Email is a very cost-effective way for us to keep in touch, so we’d love to have your email address too.
example@example.com
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How You Support CAPTAIN CHS
Thank you so much for your love and support of CAPTAIN Community Human Services. Thinking about when you first became involved, what motivated you to support our work?
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I believe it’s important to care for vulnerable people and I wanted to do something to help.
I was really moved by the needs of youth, families, and seniors in our community.
I think everyone should have the right to achieve their potential.
I give in honor or in memory of a friend or loved one.
I care about the local community.
Other
Caring people like you support CAPTAIN CHS in so many meaningful ways. Which of the following ways have you enjoyed helping?
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As a generous supporter.
As a volunteer.
As a client.
As an attendee of the Annual Gala, Route 50 Mile, or other CAPTAIN CHS event.
As a Board or Advisory Council member.
Other
When thinking about our philanthropic mission, which of the following issues are most important for you to support?
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Emergency Assistance and Homelessness
Food Pantry and Summer Meals
Homeless and Runaway Youth
Human Trafficking
Cheryl's Lodge Outreach Center
Senior Services
Empowerment Programs
Other
On a scale of zero to 10, please indicate how much you agree with the following statement: "I am a committed CAPTAIN CHS donor."
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Strongly Disagree
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Strongly Agree
10
1 is Strongly Disagree, 10 is Strongly Agree
On a scale of zero to 10, please indicate how much you agree with the statement: "I feel a sense of loyalty to CAPTAIN CHS."
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Strongly Disagree
1
2
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9
Strongly Agree
10
1 is Strongly Disagree, 10 is Strongly Agree
On a scale of zero to 10, please indicate how much you agree with the statement: "CAPTAIN CHS is my favorite charitable organization."
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Strongly Disagree
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Strongly Agree
10
1 is Strongly Disagree, 10 is Strongly Agree
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New Ways to Make a Difference
Automatic monthly gifts deducted from your debit or credit card are an easy and effective way to support CAPTAIN CHS. Small monthly gifts are a very simple and effective way to support CAPTAIN CHS, as they help me budget and plan for the future. Will you join our special group of supporters by considering a small monthly gift?
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I'm already a monthly giver.
Yes, I'm interested in making a small monthly gift. Please get in touch.
Maybe, but I'd like some information before deciding.
Not right now, thank you.
Legacies left to CAPTAIN CHS by people in their wills are of enormous benefit to our work. Many people like to leave a gift in their will or trust so that we can continue to be there for kids, families, and seniors well into the future. These wonderful donors are members of our Anchor Society. Have you included a gift to CAPTAIN CHS in your will?
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Yes, I have already included CAPTAIN CHS in my will.
I intend to include CAPTAIN CHS when I make or revise my will.
I would consider this type of gift and would like more information.
I have a will and have mentioned other charities, but I have not included CAPTAIN CHS.
I have written a will but not included a charity.
I don’t have a will.
It’s not something I’m interested in right now, thanks.
What other giving opportunities would you like to have more information about?
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Annuities
Donor-Advised Funds
Estate Planning/Family Trust
None, thank you
Other
Volunteering is a great way to give back to our community. CAPTAIN CHS offers more than a dozen volunteer opportunities for individuals and groups. Are you interested in volunteering?
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Yes, I’m already one of CAPTAIN CHS’s incredible volunteers!
Yes, I’d like to learn more about volunteer opportunities - please contact me.
No, I’m not available to volunteer at the moment.
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Your Thoughts on CAPTAIN CHS
We'd like to know more about your thoughts on CAPTAIN CHS's over thirty programs and services. Please feel free to share as much or as little as you're comfortable.
If you were to tell a friend about CAPTAIN CHS and why you believe in our work, what would you say?
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What do you feel are the organization’s strengths?
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What do you feel are the organization’s weaknesses?
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What do you feel are some of the greatest challenges facing our community today?
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Anything Else to Share?
Please add anything else you’d like to tell us or share with me about CAPTAIN CHS or your giving priorities. We love to hear personal stories!
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