We value your feedback.

Your input helps us understand what motivates supporters like you, as we continue our mission to provide hope and healing to those living with lung, heart, immune and related diseases.

Step 1 of 12 - 1

1) Do you believe in the mission of National Jewish Health to heal, to discover, and to educate as a preeminent health care institution?

Yes

2) In what ways have you engaged with National Jewish Health? Please select all that apply.

I donate to National Jewish Health.

A friend or family member was a patient of National Jewish Health.

I am or have been a patient of National Jewish Health.

I am a current or former employee of National Jewish Health.

I have attended National Jewish Health events.

I follow on social media.

I have visited the website.

Other

2a) Other - Please specify:

Please specify:

2b) How frequently do you engage withNational Jewish Health?

How frequently do you engage with National Jewish Health?

Weekly

Monthly

Every few months

Yearly

Rarely or never

Other

2b-i) Other - Please specify:

Please specify:

3) We like to send supporters like you occasional emails with updates, including videos, stories and information about how we are making an impact. Would you like to receive these updates? (You can opt out at any time.)

Yes I want to receive occasional emails with updates.

Not at this time.

4) Which aspects of the work of National Jewish Health are most meaningful to you?

Please rank the following according to their importance to you, with First Priority being your highest priority.

You may only select one answer for each option.

First Priority	Second Priority	Third Priority	Fourth Priority

Life-changing care to each patient who comes to us seeking answers to the diseases we treat

First Priority

Second Priority

Third Priority

Fourth Priority

Groundbreaking research focused on leading clinical studies and exploring cutting-edge therapies, while offering effective treatments and developing methods for early intervention

First Priority

Second Priority

Third Priority

Fourth Priority

Educating and training health care professionals

First Priority

Second Priority

Third Priority

Fourth Priority

Providing patients the education and information they need to improve their outcomes

First Priority

Second Priority

Third Priority

Fourth Priority

5) Was there an influential person in your life who inspired your appreciation of National Jewish Health?

Yes

5a) If yes, please indicate their relationship to you.

If yes, please indicate their relationship to you.

Parent/grandparent

Spouse/partner/significant other

Child/children

Other family member

Friend

Teacher or professor

Other

5a-i) Other - Please specify:

Please specify:

6) When thinking about future generations, how important is it to you that National Jewish Health continues to provide innovative patient care, advance disease research, and educate future health care leaders?

Of utmost importance

Very important

Somewhat important

Not very important

Not important at all

7) Donors often recognize the need to support National Jewish Health in the following ways. Would you consider furthering our work in any of the following ways?

I already have	I am likely	I am somewhat likely	I am not likely

Talking with a gift officer face-to-face or on the phone about making a meaningful impact

I already have

I am likely

I am somewhat likely

I am not likely

Donating online with a credit card

I already have

I am likely

I am somewhat likely

I am not likely

Mailing a check

I already have

I am likely

I am somewhat likely

I am not likely

Making a recurring contribution

I already have

I am likely

I am somewhat likely

I am not likely

Donating from a donor-advised fund

I already have

I am likely

I am somewhat likely

I am not likely

Donating from a family foundation

I already have

I am likely

I am somewhat likely

I am not likely

Giving appreciated assets (such as personal or business stocks or bonds, land or rental real estate, etc.)

I already have

I am likely

I am somewhat likely

I am not likely

Giving property (such as jewelry, artwork or a car)

I already have

I am likely

I am somewhat likely

I am not likely

Transferring a portion of my IRA account to National Jewish Health (Qualified Charitable Distribution)

I already have

I am likely

I am somewhat likely

I am not likely

Making a charitable gift that provides a lifetime income to me or my loved ones

I already have

I am likely

I am somewhat likely

I am not likely

Making a cryptocurrency donation to support National Jewish Health

I already have

I am likely

I am somewhat likely

I am not likely

8) Many people like to include a gift to charity in their will or estate plan to support causes that are important in their life. Would you consider including a gift to National Jewish Health to breathe hope into the lives of patients and their families?

I have included a gift to National Jewish Health in my will, trust, or by beneficiary designation.

I am interested in making this type of gift to National Jewish Health.

Not now, but in the future I would definitely be interested in making this type of gift to National Jewish Health.

Not now, but in the future I might possibly be interested in making this type of gift to National Jewish Health.

I am not interested in this type of gift.

8a) Please tell us about your legacy gift:

Please tell us about your legacy gift:

I planned this gift in honor or in memory of someone.

I would like this gift to go to a specific purpose.

National Jewish Health may use this gift where it will do the most good.

8a-i) Please provide the name of and/or association with this person:

Please provide the name of and/or association with this person:

8a-ii) Please describe the intended purpose:

Please describe the intended purpose:

Would you like us to provide additional information to help with your decision?

Easy Ways to Leave a Legacy

Smart Ways to Make an Impact Now

Gifts That Pay You Income

Tax-Wise Ways to Make an Impact

How to Create or Update Your Estate Plans

9) How does National Jewish Health rank in comparison to other nonprofits you may support?

My top choice for charitable giving

Near the top of my list

Middle of my list

Bottom of my list

Not on my list

9a) Do you have any friends/colleagues/family members with similar interests who would consider supporting the mission and vision of National Jewish Health?

Do you have any friends/colleagues/family members with similar interests who would consider supporting the mission and vision of National Jewish Health?

Yes

9a-i) Please let us know the most convenient way to connect:

Please let us know the most convenient way to connect:

I would like to introduce the person(s) to National Jewish Health on my own.

I would like National Jewish Health to provide me with resources to share with the person(s).

10) We would love to hear your story. If you would like, please share a special memory or experience with National Jewish Health.

11) About You (optional)

Age

Under 40

40 - 49

50 - 59

60 - 69

70 - 79

80 - 89

90+

Gender

Male

Female

Other/Nonbinary

Prefer not to specify

Please specify:

What is your marital status?

Married

Not married

Divorced

Widowed

Which of the following best describes your family?

No children

One child

Two or more children

Please tell us the highest level of education you completed:

High school graduate or equivalent

Some college

Associate's degree

Bachelor's degree

Advanced degree

Please select the option(s) that best describes your professional life.

Working full time

Working part time

Retiring within 5 years

Retired

Volunteering

Business owner or entrepreneur

Self-employed

Unemployed

Board member for a nonprofit

Where do you serve as a board member?

Please specify your profession:

Please check the box below if you would like to update your contact information.

I would like to update my contact information.

First name(Required)

Last name(Required)

Address

Address 2

City

State

ZIP

Country

Phone

Email(Required)

Hidden

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Phone

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