Thanks for taking the time to share your thoughts. Supporters like you are a pretty big deal around here so we’re really looking forward to hearing from you. We know your time is valuable so we’ve made this quick and easy to complete. Thinking about when you first became involved, what best describes your motivation to give*I gave in honor of a friend or loved one that has/had mitochondrial disease (mito)I can't stand to think of people losing their children to incurable diseasesI'm personally affected by mitoI feel it's the right thing to doI'm just a generous person and like to give when I'm asked by my friendsI have a different reasonWill you share the name of your loved one affected by mito?Please share your reason for giving hereHave you been in touch with the Mito Foundation? Would you like someone to reach out to you to discuss how we could help you?Yes I would like to be contacted by Mito Foundation, please contact me via my mobileYes I would like to be contacted by Mito Foundation, please contact me via emailNo thanks, I'm already in touch with Mito FoundationNo thanks, I'm okay for nowIf it were possible to solve one problem for people impacted by mito, what would it be?* Focused research that would find a cure for mito Increased knowledge for GPs, making diagnosis faster and easier Public awareness so mito patients don’t experience the isolation of having a rare unknown disease Research findings would lead to the development of treatments to ease the symptoms of mito The Australian government would make it possible for parents with mito to have children free from mito People with mito would have easy access to the support they need I have another problem I would like to solve Please share the problem you would most like to solveWhat areas interest you the most?* Advancements in diagnostics techniques Support activities to keep people impacted by mito informed and connected New approaches to managing mito Collaboration with international partners to progress research Advocating for the government to support people impacted by mito Research and studies into cures for mito I'm most interested in another area Please share what other areas interest youIf you were to tell a friend about the Mito Foundation and why you support our work, what would you say?If you could share a message of hope with people impacted by mito and their families what would it be?On a scale of 1 to 10, please indicate how much you agree with each statement with “10” being “Strongly Agree” and “0” being “Strongly disagree” I am a committed Mito Foundation donor 5 I feel a sense of loyalty to Mito Foundation 5 The Mito Foundation is my favourite charitable organisation 5 Commitment Score 1Commitment Score 2Commitment Score 3Commitment Score TotalBequests*Yes, I already have included the Mito Foundation in my WillI intend to include the Mito Foundation when I make or revise my WillI would consider this type of gift and would like more informationI have a Will and have mentioned other charities, but I have not included the Mito FoundationI do not have a WillI have written a Will but not included a charityIt’s not something I’m interested in right now, thank youIn a few months, the Mito Foundation will be running a special campaign that will have a huge impact. Do you think you could be in a position to make a special donation of $1,000 or more before the end of the financial year?*Yes, I’d like to consider a proposal in more detailMaybe. It depends on when, and what campaignNot within six months, but maybe a little later or next yearNot now, thank youWould you join our special group of Mito Champions supporters by considering this type of donation?*I’m already a Mito Champion monthly giver!Yes, I am interested in making monthly gifts – please contact meMaybe, but I’d like some more information before decidingNot right now, thanks Name* First Last Email* Mobile Phone*Date of Birth Date Format: DD slash MM slash YYYY Address Street Address Suburb State Post Code Is there anything else you'd like to share with us?
