Anonymous Feedback Form
We’d love to hear about your experience receiving our Care Packages. We want to serve you and the community by continuously improving the care packages. Please use this form to give us your suggestions, compliments or complaints. They’re important to us!
First Name (Will Not Be Shared but Used for Internal Purposes)
Last Name (Will Not Be Shared but Used for Internal Purposes)
How old are you? (Just in case it's a youth participant)
What is your City, State and Zip Code? (For Demographic Purposes Only)
Email (Will Not Be Shared but Used for Internal Purposes)
When or where did you receive the package?
Which of our Care Packages did you receive?
Torion Love Keepsake Box (Suicide Fundraising Gala)
We Care Package (Support Group)
LGBTQ+ We Care Package (Support Group)
We Care Kids Package (Any Kids Event)
We Care Package (Grief Support Group)
Other
What Other Package Did You Receive?
How would you rate our Care Packages?
Excellent
Very good
Good
Fair
Poor
Did this Care Package help you? If so, How?
What were your favorite products in the care package?
Do you have any suggestions or ideas for improvement?
Can we use your feedback for promotional purposes only? (Name will not be used but initials will be)
Yes
No
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