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Winfall Lottery Survey

Page One

Thank you for supporting WinFall Lottery. By completing this survey you will be helping us improve future lotteries and optimize funds raised for health care in the Peace Arch Hospital community.

Simply fill out your answers and click "SUBMIT".

1. Which prize and/or prizes do you value the most?
(please list all and specify why) *This question is required.

2. What prize(s) or type of prize(s) would you like to see added to the Lottery? (please list all) *This question is required.

3. What type of Early Bird prizes do you prefer? *This question is required.

Luxury Cars
Sports vehicles
Vacations
Cash
Home electronics
Other (please specify) Please enter an 'other' value for this selection.

4. For the Early Bird, do you prefer: *This question is required.

5. For the Grand Prize Showhome, would you prefer: *This question is required.

Please enter an 'other' value for this selection.

6. What type of vacation destinations appeal to you the most?
(Please check all that apply) *This question is required.

7. How/where do you usually buy tickets in the WinFall Lottery? *This question is required.

8. How do you prefer to buy tickets? *This question is required.

9. Which newspapers do you often read? *This question is required.

The Vancouver Sun
The Province
Community Newspaper (please specify) Please enter an 'other' value for this selection.

10. Which radio station(s) do you often listen to? *This question is required.

11. Which television station(s) do you often watch? *This question is required.

12. Why do you buy tickets for the WinFall Lottery?
(please check one): *This question is required.

13. Please indicate your age (please check one): *This question is required.

14. Annual Household Income (please check one): *This question is required.

15. Are you retired? *This question is required.

Please fill in your name and contact info prior to submitting your survey and you will automatically be entered to win a $100 gift certificate from Pharmasave.

The draw will take place on December 15, 2010 at Peace Arch Hospital Foundation 15521 Russell Avenue, White Rock, BC V4B 2R4.

Name:
Email:
Phone:

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