EmailMeForm
2019 Donor Survey
After undergoing strategic planning in 2018, we are excited to bring our short and long-term goals to you! We truly rely on our donor supporters in praying, volunteering and by financially giving.
Please take 5 minutes to fill out this survey so we are equipped to serve YOU and in turn our teen parents going forward.
Of the following goals, which are most important to you?
Increasing Church Partners
Hiring a Teen Dad Coordinator
Opening a 4th Program Office (in Northern Cook County)
In what areas would you be most interested in helping us with our short-term goal of INCREASING CHURCH PARTNERS
Make an introduction to a staff member at my church
Host a Sip Cup Coin Drive at my church
Gather a group of volunteers to fill a need for a program (e.g.group meal)
Other
Please Specify
In what areas would you be most interested in helping us with our long-term goal to OPEN A NEW OFFICE IN NORTHERN COOK COUNTY?
Make a monthly financial commitment
Host a Sip Cup Coin Drive at my church
Serve on Kindred Life's 2019-20 Board of Directors
Make an introduction to your churches mission board
Other
Please Specify
In what ways would you be interested in helping us with our short-term goal of hiring a TEEN DAD COORDINATOR OR PROGRAM DIRECTOR?
Refer a candidate
Volunteer as a teen dad mentor
Make a monthly financial contribution
Other
Please Specify
Would you be interested in our Legacy Giving Program (tax beneficial, inheritance donation)?
Yes, please contact me
Maybe, need more info
No, not at this time
How is Kindred Life doing in communicating with YOU, our donor?
 
Worst
1
2
3
4
5
 
Best
What matters to YOU when it comes to Kindred Life and serving teen parents and their families?
Contact Information
Please fill out the following so we may follow up with you.
Name
First
Last
Email
Phone
###
-
###
-
####
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Demographic Information OPTIONAL
Age
Please select
17 or younger
18-24
25-34
35-33
34-54
55-64
65 or older
Gender
Please select
Male
Female
Income
Please select
Under $15,000
$15,000 to $24,999
$25,000 to $34,999
$35,000 to $49,999
$50,000 to $74,999
$75,000 to $99,999
$100,000 to $7149,999
$150,000 to $199,999
Over $200,000
Prefer not to answer
THANK YOU.
Image
Powered by
EMF
HTML Contact Form
Report Abuse