Winfall Lottery Survey

Page One
There was an error on your page. Please correct any required fields and submit again. Go to the first error



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".

3. What type of Early Bird prizes do you prefer? *This question is required
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
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
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.
0%
Peach Arch Hospital WinFall Lottery Survey