William Osler Health System Foundation

Supporter Survey

Support from community members like you is vital to the life-saving work we do across Osler's sites every day. We'd like to know more about your connection and experiences with Osler, so we can better serve our community today, tomorrow, and in the years to come. Thank you!

1. Have you ever accessed one of William Osler Health System's sites? Please make at least 1 selection from the choices below.

I or a loved one have received care at Brampton Civic Hospital
I or a loved one have received care at Etobicoke General Hospital
I or a loved one have received care at Peel Memorial Centre for Integrated Health and Wellness
I or a loved one have received care at Osler's Reactivation Care Centre
I or a loved one have received care at Osler's Withdrawal Management Centre
No, neither I nor a loved one have accessed care at an Osler site.

2. Do you live in our community?

3. If you answered A or B or C to Question 2: How long have you lived there?

4. How does Osler's work make the greatest impact on you and those you love most? Please make at least 1 selection from the choices below.

Health care I can rely on close to home, so I don't have to travel far to get life-saving treatment
Access to world-class health care providers who love their work, and cutting-edge technology that enables them to save lives
Equitable health care that serves every member of my community with fairness and dignity
A patient-centred approach to care where my mental, emotional, and physical well-being are top-of-mind
The commitment to innovation and improving the health care experience today and tomorrow

5. Have you ever made a donation to Osler? Please make at least 1 selection from the choices below.

Yes, I've given in support of a fundraising event.
Yes, I've given when a friend, family member, or neighbour was fundraising for Osler.
Yes, I've given a gift in tribute or memory of a loved one.
Yes, I've given in gratitude for the care I received.
Yes, I am a monthly donor.
Yes, I give an annual gift.
Yes, I give my time as a volunteer.
No, I've never given in support of Osler.

6. More than a million Canadians have included gifts in their wills to charities they care about, like their local hospitals. These gifts help charities continue to make a significant impact in the years to come! Have you ever given any thought to this kind of giving?

7. If you would like more information about leaving a gift in your will:

8. Our community is one of the fastest-growing in Canada, and the health care needs are greater every day. If you could support one area of Osler's work with a gift in your will, what would it be?

9. When you think of the future of health care and how Osler can continue to go beyond for healthier communities, what do you envision?

10. Have you personally considered a gift in your will to William Osler Health System Foundation?

11. If you answered 'Yes' to Question #10, would you like to tell us more about your gift? Your answers will be confidential.

This gift is in honour or in memory of a loved one
This gift is to go to the area of greatest need
This gift should go where it can do the most good

12. Is there anything else you'd like us to know about your thoughts and experiences with Osler? (Maximum response 255 chars, approx. 5 rows of text)

If you have time, we'd like to know more about you. This section is entirely optional.

13. What is your age?

14. What is your gender?

15. What is your marital status?

16. Tell us about your family

I do not have any children

I have a child/children

I have a grandchild/grandchildren

17. What is your employment status?

18. Please send me personalized communication regarding my responses to the survey.

19. Please provide us with the following information so we can follow up with you:

Name:

Field Is Required First

Field Is Required Last

Address:

Street 1:

Street 2:

City/Town:

City/Town:

Province / State:

Province / State:

Postal / ZIP Code:

Postal / ZIP Code:

Email:

Field Is Required Email:

Phone Number:

Phone Number:

Yes, I would like to receive email from William Osler Health System Foundation. (You may choose to opt-out at any time)

Yes, I would like to receive postal mail from William Osler Health System Foundation

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