It's never been easier to DONATE $100!

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It's never been easier to DONATE $100! **

Care Survey

Thank you for participating! This short survey helps us get to know what inspires you and how to connect with you in meaningful ways. Your information stays private and will not be shared.

Each completed survey unlocks a $100 sponsored donation to CareImpact, so please make sure your contact details are accurate to qualify.

Offer limited to one survey per person. Participants must be 16 years of age or older and currently living in Canada.

Let’s get started.

Contact Details

First Name*

Last Name*

Email*

Cell Phone*

Mailing Address*

City*

Province*

Postal Code*

What Inspires You?

By completing this survey, you agree to receive occasional updates from CareImpact. We will never share your information with outside parties. Your survey submission helps generate a $100 sponsored gift toward CareImpact’s work, but it does not qualify as a charitable tax receipt for you. Offer limited to one survey per person. Participants must be 16 years of age or older and currently living in Canada. Thank you for being part of strengthening care across Canada.

Thank you!

Your survey was submitted and helps unlock a $100 sponsored gift toward CareImpact’s work.