PLEASE HELP WITH OUR BRIEF 2023 OPINION SURVEY

Understanding the motivations behind your support is extremely important to us, so please help us get to know you better by completing this brief survey. Your input will help us to be more responsive to your interests and needs. If you are unsure how to respond or would prefer not to answer a question, you may skip to the next question.

We respect your privacy, and your answers will be kept strictly confidential.

Step 1 of 10 - Q1

10%

1) Which statement best describes why you support Fòs Feminista?
(Rate each on a scale with 5 being very important and 1 being not important)

Very Important 5	4	3	2	Not Important 1

I believe access to contraception is a human right

I believe that access to safe, legal abortion is a human right

I believe every person has the right to make decisions about their own body and future

I want to help remove barriers to reproductive health services for the most marginalized communities in the world

I want to help the women and girls who are most at risk of sexual violence and unwanted pregnancy

I believe in building a feminist future with sexual and reproductive rights and justice for all

2) How do you like to participate in advancing sexual and reproductive rights?

I volunteer

I write letters or send emails to my representatives or engage in other forms of advocacy

I am a healthcare provider

I also support other reproductive health organizations

Other

Dropdown for "Other" - 2) How do you like to participate in advancing family planning and reproductive rights?

Please specify:

3) Fòs Feminista likes to send our supporters occasional updates, including videos, stories, and information about how we are making an impact on your behalf. Would you like to receive these updates from our office? (You can opt out at any time).

Yes I want to receive occasional emails with updates.

Not at this time.

4) Please rate the importance to you of the following:

Not Important	Somewhat Important	Very Important

Being a good example for the next generation

Not Important

Somewhat Important

Very Important

Making a lasting impact in the world

Not Important

Somewhat Important

Very Important

Ensuring that my values will positively impact future generations

Not Important

Somewhat Important

Very Important

5) You previously shared that you might consider including a gift to IPPFWHR or Fòs Feminista in your will—thank you! We know this takes thoughtful consideration and a lot may have changed since you last notified us. Would you kindly share an update on the gift you were considering?

I am pleased to let you know I have documented my intended gift for Fòs Feminista.

I am still considering a gift and/or need to update my plans. Please check back with me.

I am still considering a gift and/or need to update my plans, but I have questions and would like to discuss my options with a member of the Fòs Feminista charitable planning staff. Please contact me.

I am no longer interested in this type of gift.

Please check back with me in:

Please contact me:

By phone

By email

5b-i) If selected "by Phone"

Phone number:

5b-ii) If selected "by Email"

Email address:

5b-iii) Best day/time to contact me:

Best day/time to contact me:

6) In addition to advancing sexual and reproductive health, rights, and justice, please let us know if you have other goals (personal or financial) you would like to accomplish or concerns that you would like to address with a gift for Fòs Feminista so that we can better assist you. (check all that apply)

I want to make sure that I take care of my family and/or loved ones first and foremost.

I am concerned about making a commitment that I won’t be able to keep.

I would like to honor someone with a tribute gift in my will.

I’m interested in options that enable tax-efficient transfer of wealth to my heirs.

Other

Dropdown for "Other" - 6) Please let us know if you have other goals (personal or financial) you would like to accomplish or concerns that you would like to address with a gift for Fòs Feminista so that we can better assist you.

Please specify:

7) We have several complimentary publications we can send you to assist in your planning. Please indicate which information you wish to receive:

Do I Need to Update My Plans?

Provide for Your Loved Ones and Defend Women’s Reproductive Health

Beneficiary Designations: Gifts You Make by Signing Your Name

Getting Organized

Planning for Your Digital Legacy

Creating Your Advance Directive

8) Is there anything else that you would like to share with us?

The following questions are optional, but will help us get to know you better.

Please share with us your birthdate:

Gender

Male

Female

Other/Nonbinary

Prefer not to specify

Dropdown for "Other" - gender

Please specify:

What is your relationship status?

Married/Partnered

Not Married/Partnered

Widow/Widower

Divorced

Single

Other

Dropdown for "Other" - maritalStatus

Please specify:

How would you describe your family?

I do not have any children

I have one or more children

Grandchildren?

I have a grandchild or grandchildren

Please tell us the highest level of education you completed:

High school graduate or equivalent

Some college

Associate degree

Bachelor's degree

Advanced degree

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)

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Name

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PLEASE HELP WITH OUR BRIEF 2023 OPINION SURVEY

How is this information used?