AOPRC Feedback Survey

All-Options Pregnancy Resource Center Client Feedback Survey

As someone who has used All-Options PRC services, your thoughts and experiences are very important to us. Your honest responses in this survey will help improve All-Options' services to support people in their decisions and experiences with pregnancy, parenting, abortion and adoption.

All the information in this survey will be kept confidential. Responses will be compiled and may be quoted anonymously, but never in a way that could identify individual callers. If you have any questions, suggestions or concerns, please contact Jess McCanse, Center Manager, at jess@all-options.org or 812-558-0089 ext. 2.

To thank you for taking the time to complete this survey. Your client code will be entered into a monthly drawing for a Target gift card. We appreciate your feedback and your participation!

Question Title

* 1. Please tell us how you would rank your overall experience visiting All-Options PRC:

Poor

Fair

Good

Very Good

Excellent

Poor

Fair

Good

Very Good

Excellent

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* 2. Please tell us more about your experience visiting All-Options PRC. What was helpful to you?

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* 3. When you think about your interaction with All-Options PRC, what could have been improved?

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* 4. Please tell us how you would rank other aspects of your visit to All-Options PRC:

	Poor	Fair	Good	Very Good	Excellent
Quality of information, resources, or referrals given to you	Quality of information, resources, or referrals given to you Poor	Quality of information, resources, or referrals given to you Fair	Quality of information, resources, or referrals given to you Good	Quality of information, resources, or referrals given to you Very Good	Quality of information, resources, or referrals given to you Excellent
Staff/Volunteer Helpfulness	Staff/Volunteer Helpfulness Poor	Staff/Volunteer Helpfulness Fair	Staff/Volunteer Helpfulness Good	Staff/Volunteer Helpfulness Very Good	Staff/Volunteer Helpfulness Excellent
Staff/Volunteer ability to be open and non-judgmental	Staff/Volunteer ability to be open and non-judgmental Poor	Staff/Volunteer ability to be open and non-judgmental Fair	Staff/Volunteer ability to be open and non-judgmental Good	Staff/Volunteer ability to be open and non-judgmental Very Good	Staff/Volunteer ability to be open and non-judgmental Excellent
Staff/Volunteer friendliness	Staff/Volunteer friendliness Poor	Staff/Volunteer friendliness Fair	Staff/Volunteer friendliness Good	Staff/Volunteer friendliness Very Good	Staff/Volunteer friendliness Excellent
Amount of baby/children’s items available (if applicable)	Amount of baby/children’s items available (if applicable) Poor	Amount of baby/children’s items available (if applicable) Fair	Amount of baby/children’s items available (if applicable) Good	Amount of baby/children’s items available (if applicable) Very Good	Amount of baby/children’s items available (if applicable) Excellent
Number of diapers received (if applicable)	Number of diapers received (if applicable) Poor	Number of diapers received (if applicable) Fair	Number of diapers received (if applicable) Good	Number of diapers received (if applicable) Very Good	Number of diapers received (if applicable) Excellent

Please share more, if you'd like.

Question Title

* 5. As a result of receiving services from All-Options, I have more positive feelings about parenting.

Strongly Disagree

Disagree

Neither Agree nor Disagree

Agree

Strongly Agree

Strongly Disagree

Disagree

Neither Agree nor Disagree

Agree

Strongly Agree

Tell us more! How has receiving services from All-Options influenced your beliefs or feelings about parenting?

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* 6. As a result of receiving services from All-Options, I have more positive feelings about other pregnancy decisions (such as abortion or adoption).

Strongly Disagree

Disagree

Neither Agree nor Disagree

Agree

Strongly Agree

Strongly Disagree

Disagree

Neither Agree nor Disagree

Agree

Strongly Agree

Tell us more! How has receiving services from All-Options influenced your beliefs or feelings about other pregnancy decisions?

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* 7. Would you refer others to us?

Yes

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* 8. Would you be interested in participating in or attending a parenting support group?

Yes

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* 1. Please tell us how you would rank your overall experience visiting All-Options PRC:

Question Title

* 2. Please tell us more about your experience visiting All-Options PRC. What was helpful to you?

Question Title

* 3. When you think about your interaction with All-Options PRC, what could have been improved?

Question Title

* 4. Please tell us how you would rank other aspects of your visit to All-Options PRC:

Question Title

* 5. As a result of receiving services from All-Options, I have more positive feelings about parenting.

Question Title

* 6. As a result of receiving services from All-Options, I have more positive feelings about other pregnancy decisions (such as abortion or adoption).

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* 7. Would you refer others to us?

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* 8. Would you be interested in participating in or attending a parenting support group?

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* 9. Is there anything else you'd like to share about your experience with All-Options?