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Spring raffle
Our shops
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Lottery Winners Survey
Winners survey
Share your Weekly Lottery win experience!
This form will only take a few moments of your time.
Name
(Required)
First
Last
Phone
(Required)
Email
(Required)
Use one word to describe how you felt when you won:
How much did you win?
Please leave blank if you prefer not to say.
Did you celebrate your win or do something special? If you did, what did you do?
What motivated you to join the hospice lottery?
To support local hospice care
A family/friend connection to the hospice
For the chance to win
Other
Have you or someone you know ever been supported by hospice care?
Yes
No
Prefer not to say
Would you be happy to share a short quote about what winning the lottery has meant to you?
Would you be willing to share a photo of your win?
Please leave blank if you do not want to share a photo.
Accepted file types: jpg, jpeg, png, gif.
Do you give us consent to use the contents of this survey and any photos you provide for promotional use?
Yes, you use my story and first name
Yes, anonymously
No
