Survey - Tribute Donor Summary Report - Heart and Stroke Foundation of Canada / Fondation des maladies du coeur et de l'AVC du Canada

Speaking notes:

In Memory donors> I wanted to offer my sincere condolences on the loss of your loved one.We thank you for choosing to designate these funds to Heart and Stroke.

I will be gathering the information required to complete your request for the Tribute Donor Summary Report. Please note, it could take 4-6 weeks. This is because we combine all online and offline funds that are received (which include any funeral home funds mailed to us). The list will contain the full names and mailing address for each donor (except those who at the time of donation requested to remain anonymous) and the total combined donation amount.

Could I please start with the information for the deceased/honouree?

Deceased/Honouree Information

*

Question - Required - Name of the Deceased including nick names

(Maximum response 1,000 characters)

*

Question - Required - CRM Look up ID

(Maximum response 1,000 characters)

*

Question - Required - Date of Death (approx.)

Month

Day

Year

Question - Not Required - Date of Funeral/service

Month

Day

Year

Question - Not Required - Funeral Home Name

(Maximum response 1,000 characters)

Speaking Notes: I will now gather your information so we can send you the report.

Next of Kin (requestor) information

*

Question - Required - How would you like us to send the report

Email

Mail

*

Question - Required - First Name, Last Name

*

Question - Required - Phone

(Maximum response 1,000 characters)

Question - Not Required - Email - PLEASE ENSURE THE EMAIL ADDRESS IS ENTERED IF DELIVERY BY EMAIL IS SELECTED

Question - Not Required - Mailing Address (only for mail) - PLEASE ENSURE A FULL MAILING ADDRESS IS CAPTURED IF DELIVERY BY MAIL IS SELECTED

Question - Not Required - City

Question - Not Required - Province

Question - Not Required - Postal Code

*

Question - Required - Relationship the deceased

*

Question - Required - Language preference for report

AnswerPlus Admin Information

*

Question - Required - Call ID

(Maximum response 1,000 characters)

Question - Not Required - Additional note

(Maximum response 1,000 characters)