Donor Interest Survey Question Title * 1. First Name: Question Title * 2. Last Name: Question Title * 3. Email: Question Title * 4. Preferred method of contact: Email Snail Mail Phone Call Do Not Contact Question Title * 5. What type of events interest you(select all that apply) Gala Golf Tournament Casino Night Wine/Beer/Spirits Tasting Social Events/Donor Appreciation Milestone Events (groundbreaking, ribbon cutting, grand opening, etc.) Community Health Education Seminars New Medical Technology Demonstrations Medical Facility Tours Other (please specify) Question Title * 6. Which Peterson Health programs do you care the most about (select all that apply)? Intensive Care/Emergency Services Therapy/Rehab Heart and Vascular Women's Health The Baby Place Surgical Technology Upgrades Joint Replacement Wound Care Peterson Hospice/Home Care Medical Staff Education No preference Other (please specify) Question Title * 7. What type of updates would you like to receive from Peterson (select all that apply)? Current Events at Peterson Health Physician/Personnel updates within Peterson Construction Updates to the Peterson facility Foundation Campaign Updates New and Upcoming Treatment Methods Financial Planning/Tax Tips General Health and Wellness Other (please specify) Question Title * 8. Why do you choose to support Peterson Health (check all that apply)? I want to ensure the Hill Country community has access to great care locally. It is important to me that Peterson Health is here to care for my family for future generations. I want to help advance Peterson Health so that additional providers and service lines are available to meet the needs of our growing community. Other (please specify) Question Title * 9. Do you have a story you would like to share? Yes (tell us your story on the next page) No Next
