Required fields are marked with asterisks (*)

Contribution Post Initiative Survey

To better understand and report on the social impact that contributions have on our community, we request your assistance to complete the following survey. Failure to complete this survey may result in denied future requests.

Name:

Recipient Organization:

Name of event/initiative supported by Discovery Porcupine:

What was the total number of beneficiaires?

-10 people

100-200 people

10-50 people

+200 people

50-100 people

unknown

What percentage of the target audience was children/youth?

-25%

25-50%

+50%

unknown

What percentage of the target audience was Indigenous peoples?

-25%

25-50%

+50%

unknown

What percentage of your target audience was women?

-25%

25-50%

+50%

unknown

How many women benefitted from your event/initiative?

-10 women

10-50 women

50-100 women

+100 women

unknown

How did the contribution benefit the local community? Please explain.

Did your event/initiative meet your intended outcome?

Less than expected

As expected

More than expected

How much of an impact do you feel the contribution had on your event/initiative?

Were the funds/in-kind donation used for its intendend purpose?

Yes

Do you plan on requesting contributions for future events/initiatives?

Yes

Please use this space should you wish to provide additional information:

Is your organization willing to provide a testimonial for advertisements and /or reports.

Yes