What part of Haiti would you identify as your origin? Specify both department and city. (ex: Cap-Haitien, North department. If not applicable, please add N/A) *
Your answer
In which country do you currently live? *
In which country were you born? *
What is the highest level of education you have reached? *
Please indicate your employment status. *
What was your primary reason for leaving Haiti? *
Are any of your immediate family members (spouse, children, parents) living in Haiti? *
On average, how often do you return to Haiti? *
Are you currently involved in any philanthropy activity (i.e. giving time, money, and/or resources to charitable causes) in Haiti? *
If Yes, could you please specify. If no, please add "N/A"
Your answer
Do you provide any financial support to any of the following groups in Haiti? You can choose more than one option. *
Required
Which development project are you most interested in supporting? *
Required
Please rank all of the following development projects in terms of how likely you are to support them. *
Very likely
Likely
Not likely
Churches or faith based organizations
Childcare
Education
Food security
Healthcare provision
Income generation
Infrastructure development
Microfinance initiatives
Women's associations
Youth development
Very likely
Likely
Not likely
Churches or faith based organizations
Childcare
Education
Food security
Healthcare provision
Income generation
Infrastructure development
Microfinance initiatives
Women's associations
Youth development
In which ways are you most likely to support communities in Haiti? You can choose more than one option.
Which parts of Haiti would you be interested in developing? You can choose more than one option. *
Required
Please rank all the following items in terms of the most important factors when deciding to participate in philanthropy. *
Very Important
Important
Not Important
Appropriate Use of Funds
Clear Communication Channels
Donor Appreciation
Tangible Results
Transparency and Trust
Very Important
Important
Not Important
Appropriate Use of Funds
Clear Communication Channels
Donor Appreciation
Tangible Results
Transparency and Trust
Do you currently belong to any of the following diaspora networks (formal or informal)? If yes, please indicate the type. *
Required
If you do belong to a diaspora network could you kindly provide the name of the network. Please add "N/A" if you don't belong to a diaspora network. *
Your answer
If you are part of a diaspora network, do you jointly support development initiatives in Haiti with other members of the diaspora? *
If yes, could you please specify the development initiative(s).
Your answer
How are you receiving information about current developments and/or new development projects in Haiti? You can choose more than one option. *
Required
We would like to stay in contact to inform you about the projects in Haiti that you can potentially support in the future. If you are interested, please provide your email address. *