Submit your donor testimonial
We'd love to hear more about why you decided to support Aviva. We may use it on our website, and in other media, but we will not use your name (unless you expressly permit it).

If you have been supported by Aviva and would prefer to leave a service testimonial, go to https://www.aviva.org.nz/I-need-info/Testimonials/.
Your details
Your name (leave blank if you wish)
Your gender (leave blank if you wish)
Your age (leave blank if you wish)
How do you typically support Aviva?
Leave your testimonial here...
How did you learn about Aviva? Why did you decide to support us? What do you like about supporting Aviva?
Please indicate where we can use your testimonial (tick all that apply)
If we can use your testimonial, please indicate how you would like to be identified
Clear selection
Do you have any further comments?
May we contact you? (If yes, please provide contact details below)
Clear selection
Your phone number and/or email address (we will never share these details externally without your permission)
Privacy Statement
We look after your information in terms of confidentiality and privacy, and we comply with the Privacy Act 2020. We will only share information if required to by law or if you consent to us sharing information.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy