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Your input helps MD Anderson continue to provide innovative patient care fueled by cutting-edge research and serve as the premier cancer center in the world.

Step 1 of 12 - Q1

1) Do you believe in MD Anderson Cancer Center's mission to eliminate cancer through outstanding patient care, research, prevention and education programs?

Yes

2) In what ways have you engaged with MD Anderson Cancer Center? Please select all that apply.

I donate to MD Anderson.

I was treated at MD Anderson.

I have my prevention screenings at MD Anderson.

A friend or family member was treated at MD Anderson.

I am a current or former employee of MD Anderson.

I have attended MD Anderson's events.

I follow MD Anderson on social media.

I have visited MD Anderson's website.

Other

2a) Other - Please specify:

Please specify:

2b) How frequently do you engage with MD Anderson Cancer Center?

How frequently do you engage with MD Anderson Cancer Center?

Weekly

Monthly

Every few months

Yearly

Rarely or never

Other

2b-i) Other - Please specify:

Please specify:

3) We like to send supporters like you occasional emails with updates including videos, stories, and information about how we are making an impact on your behalf. Would you like to receive these updates? (You can opt out at any time).

Yes, I want to receive occasional emails with updates.

No, not at this time.

4) Which aspect of MD Anderson Cancer Center's work is most meaningful to you?

Patient care

Research

Prevention

Education

5) Was there an influential person in your life who inspired your appreciation of MD Anderson Cancer Center?

Yes

5a) If yes, please indicate their relationship to you.

If yes, please indicate their relationship to you.

Parent/grandparent

Spouse/partner/significant other

Child/children

Other family member

Friend

Physician

Nurse

Other

5a-i) Other - Please specify:

Please specify:

6) When thinking about future generations, how important is it to you that MD Anderson Cancer Center continues to accelerate the pace of converting scientific discoveries into clinical advances that reduce the devastating effects of cancer?

Of utmost importance

Very important

Somewhat important

Not very important

Not important at all

7) Supporters often recognize the need to help MD Anderson in its mission to end cancer. Would you consider furthering our work in any of the following ways?

I already have	I am likely	I am somewhat likely	I am not likely

Donating online with a credit card

I already have

I am likely

I am somewhat likely

I am not likely

Mailing a check

I already have

I am likely

I am somewhat likely

I am not likely

Talking with a gift officer face-to-face or on the phone about making a substantial impact

I already have

I am likely

I am somewhat likely

I am not likely

Making a recurring contribution

I already have

I am likely

I am somewhat likely

I am not likely

Donating from a donor-advised fund

I already have

I am likely

I am somewhat likely

I am not likely

Donating from a family foundation

I already have

I am likely

I am somewhat likely

I am not likely

Giving appreciated assets (such as personal or business stocks or bonds, land or rental real estate, etc.)

I already have

I am likely

I am somewhat likely

I am not likely

Giving property (such as jewelry or artwork)

I already have

I am likely

I am somewhat likely

I am not likely

Transferring a portion of my IRA account to MD Anderson Cancer Center (Qualified Charitable Distribution)

I already have

I am likely

I am somewhat likely

I am not likely

Making a charitable gift that provides a lifetime income to me or my loved ones

I already have

I am likely

I am somewhat likely

I am not likely

8) Many people like to include a gift to charity in their will or estate plan to support causes that are important in their lives. Would you consider including a gift to MD Anderson Cancer Center to make a tremendous difference in the lives of cancer patients?

I have included a gift for MD Anderson in my will, trust or by beneficiary designation.

I am interested in making this type of gift to MD Anderson.

Not now, but in the future I would definitely be interested in making this type of gift to MD Anderson.

Not now, but in the future I would possibly be interested in making this type of gift to MD Anderson.

I am not interested in this type of gift.

8a) Please tell us about your legacy gift:

Please tell us about your legacy gift:

I planned this gift in honor or in memory of someone.

I would like this gift to go to a specific purpose.

MD Anderson may use this gift where it will do the most good.

8a-i) Please provide the name of and/or association with this person:

Please provide the name of and/or association with this person:

8a-ii) Please describe the intended purpose:

Please describe the intended purpose:

Would you like us to provide additional information to help with your decision?

Easy Ways to Leave a Legacy

How to Create or Update a Plan

Gifts That Pay You Income

Tax-wise Ways to Make an Impact

Making an Impact with Your Donor-Advised Fund

9) How does MD Anderson Cancer Center rank in comparison to other non-profits you may support?

My top choice for charitable giving

Near the top of my list

Middle of my list

Bottom of my list

Not on my list

9a) Do you have any friends/colleagues/family members with similar interests who would consider supporting the mission and vision of MD Anderson Cancer Center?

Do you have any friends/colleagues/family members with similar interests who would consider supporting the mission and vision of MD Anderson Cancer Center?

Yes

9a-i) Please let us know the most convenient way to connect:

Please let us know the most convenient way to connect:

I would like to introduce the person(s) to MD Anderson on my own.

I would like MD Anderson to provide me with resources to share with the person(s).

10) We would love to hear your story. If you would like, please share a special memory or experience with MD Anderson Cancer Center.

11) About You (optional)

Age

Under 40

40 - 49

50 - 59

60 - 69

70 - 79

80 - 89

90+

Gender

Male

Female

Other/Nonbinary

Prefer not to specify

Please specify:

What is your marital status?

Married

Not married

Divorced

Widowed

Which of the following best describes your family?

No children

One child

Two or more children

Please tell us the highest level of education you completed:

High school graduate or equivalent

Some college

Associate's degree

Bachelor's degree

Advanced degree

Please select the option(s) that best describes your professional life.

Working full time

Working part time

Retiring within 5 years

Retired

Volunteering

Board member for a nonprofit

Business owner or entrepreneur

Self-employed

Other

Profession:

Where do you serve as a board member?

Please check the box below if you would like to update your contact information.

I would like to update my contact information.

First name(Required)

Last name(Required)

Address

Address 2

City

State

ZIP

Country

Phone

Email(Required)

The email listed is:

The phone number listed is:

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