Al-Shifa Trust Eye Hospital
Survey Form
Name *
Cell/Phone *
(Please Provide Country Code)
Email *
Please read the questions carefully and select your answer from the drop down list given in front of each.
Q-1 Do you receive our quarterly Newsletter?
Q-2 Do you visit our website?
Q-3 How long have you been associated with Al-Shifa?
Q-4 From where did you get information before associating with Al-Shifa?
Q-5 What has been the motivating factor for donation to Al-Shifa?
Q-6 Any suggestions for improvements at Al-Shifa