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Please take a few minutes to complete this short questionaire. Your comments will help us build a stronger community for everyone!

How effective do you think United Way Fox Cities is in meeting human service needs in our community?

Very Effective Effective Ineffective Very Ineffective

I volunteer:

For another non-profit
I do not volunteer at this time
For United Way or a United Way Member agency

The community issues that concern me the most are:

I give to United Way because:

Did you give to United Way Fox Cities in the past:

12 months 3 years

Your age:

under 24 25-34 35-44 45-54 55+

Gender:

Male Female

Education (highest attained):

High School Technical/Trade School College
Graduate School

Yearly Household Income:

Under $25,000 $25,000-$49,000 $50,000-$74,999
$75,000+

Optional Information: We are asking this information as a way of communicating with you. This information will not be used in any other way or given to another organization.

Name:
E-Mail Address:
Address:
City:
State:
Zip:

Thank You!