Email

First Name

Last Name

Phone

1. Do you know that HSSV finds loving homes for nearly 6,000 animals each year? Yes No

2. Please tell us which of HSSV’s strategic priorities are most important to you. (Check all that apply) Saving Lives by reducing local shelter intake and supporting our Regional Rescue partners.Keeping Families Together by providing access to medical care, pet services, and a safety net for elderly, financially-insecure, and unhoused community members.Changing the Game by advancing shelter medicine and investing in the next generation of veterinarians, helping shelters nationwide save more lives.

3. Have you ever had pets? (Check all that apply) DogCatReptileFishBirdOtherI've never had pets

4. If you have pets, were any of them adopted from HSSV or another shelter? Yes No

5. In the last 12 months, how have you interacted with HSSV? (Check all that apply) Adopted a petParticipated in training classesReceived food or wellness supplies from our Pet PantryAttended an eventSaw HSSV at a community eventVolunteered or fostered an animalOtherNone of the above

6. Do you have an adoption story or a reason you donate to HSSV that you would be willing to share? If so, please tell us!

7. May we follow up with you to share your story in HSSV communications? Yes No N/A

8. In the next 6 months, would you be interested in volunteering with HSSV? (Check all that apply) Yes, I would like to volunteer on-site.Yes, I would like to foster animals.I am already a volunteer!None of the above, thank you.

9. Have you planned a future gift to HSSV as part of your estate plans? Yes, I have!Not yet, but I would consider adding HSSV to my estate plans.I’m not interested at this time.

10. Would you like HSSV to follow up with you about estate planning options? Yes No

11. If you answered Yes to question 10, what is the best way to contact you? EmailPhone callTextN/A

12. We’re so grateful to our monthly donors! In your opinion, what’s the best reason to give monthly? (Check all that apply) Steadfast support helps HSSV plan ahead.Monthly gifts lower HSSV administrative costs and reduce mailingsIt’s an easy and secure way to save lives every month. Receiving benefits like invitations to special events.Other

13. Please share any additional comments:

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