Please provide the following information:

1.  How familiar are you with our services?	Very Familiar Familiar Somewhat Familiar No Familiarity
2.  What would you like to know more about?
3.  What mail do you receive from us?	Promises to Keep Newsletter State of Children's Home Address Mailings None
4.  How much of the mail do you read?	Everything Most of it Some of it
5.  What changes would you make to what you receive?
6.  If you donate financially, at what level  do you give annually?	0-49 50-249 250-499 500-999 1000 and up
7.  How do you feel about your investment?
8.  Please rate the following needs in order of importance to you as a donor:  (1 having highest importance, 4 having lowest)	1 2 3 4 Building projects 1 2 3 4 Endowment 1 2 3 4 Annual Operations 1 2 3 4 Special Needs
9.  Do you have a will?	Yes No
10.  Do you have the children's home in your will?	Yes No
11.  What gift option would you like to know more about?	Giving through my will Gifts that pay me an income Giving stocks Giving real estate Giving stock options Giving Insurance Charitable Estate planning
12.  Where have you seen or heard about  Children's Home recently?	Newspaper Billboard Television Radio
13.  Do you access the internet:	less than once a month Monthly Weekly Daily
14.  What are your impressions of the  Children's Home Web Site
15.  Email address:
16.  Age	20 or younger 21-30 31-40 41-50 51-60 61-70 71-80 80 and up
17.  Sex	Male Female
18.  Marital Status	Single Married Divorced Widow (widower)
19.  Education Level	High School B.A. M.A. PhD, MD, JD Other
20.  How can we serve you better?
21.  My experience interacting with Children's Home  Staff has been: