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Campaign Feedback
Thank you for being a part of impacting the world. Please take some time to fill out this form in order that we will be able to better serve you and others in the future with creating impact around the globe.
Name
First
Last
Email
Phone
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In which campaign did you participate?
*
Solar Lights
Water Filters
Eye Glasses
Aquaponics
Energy Efficient Stoves
Other
Would you consider running a campaign in the future?
*
Definitely
Probably
Not Sure
Probably Not
Definitely Not
If you were to run a campaign, what product would you be interested in using?
Solar Lights
Water Filters
Eye Glasses
Aquaponics
Energy Efficient Stoves
Other
Briefly describe your experience in raising money, ways you campaigned, personal stories, stories from other countries, testimonials, etc.
*
Anything else you'd like to share with us?
Photos
If you have any photos you would like to share with us, please compile them into a zip file and upload them here.
File Upload
Do you give Emerge permission to quote you and use your photos?
*
Yes
No
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