Donor Satisfaction Survey: all fields (*) must be filled out to receive coupon

1. Name: *This question is required.

2. Address:*

3. City: *This question is required.

4. State:*

5. Zip:*

6. Phone:

7. E-mail: *This question is required. This question requires a valid email address.

8. Donation Transaction Number: *This question is required. This question requires a valid number format.

9. Date of Donation: *This question is required.

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10. Time of Donation:

11. Which donation center did you visit? *This question is required.

12. Was the attendant courteous?

13. Please include the name(s) of employee(s) who helped you:

14. Were you offered help unloading your donation?

15. If you used one of Goodwill's automated kiosk, did you find the system convenient and easy to use?

16. If no, please explain:

17. Do you have any suggestions on how we can improve our service?

All (*) questions must be completed to receive coupon.

Coupons are mailed within 2-3 weeks of submission. Maximum of 4 coupons per year.