All-Options' All Programs Feedback Survey

As someone who has used All-Options’ services, your thoughts and experiences are very important to us. Your honest responses in this survey will help us improve how we 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 you as an individual. If you have any questions, suggestions or concerns, please contact Poonam Dreyfus-Pai, All-Options Deputy Director, at poonam@all-options.org or 510-817-0781. 

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

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* 1. Which All-Options service did you use? Please select one of the following options. If you’ve used more than one All-Options service, please complete a separate survey for each service.

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* 2. Please tell us how you would rate your overall experience interacting with All-Options.

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* 3. Please tell us more about your experience with All-Options. What did you find helpful?

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* 4. What, if anything, would have improved your experience with All-Options?

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* 5. Please tell us how you would rate different aspects of your experience with All-Options. 

  Poor Fair Good Very Good Excellent
Quality of information, resources, or referrals given to you
Quality of Staff or Volunteer's Listening Skills
Staff or volunteer's ability to be open and non-judgmental
Amount of time allowed for your call or meeting

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* 6. How has receiving services from All-Options influenced your beliefs or feelings about pregnancy, parenting, abortion, and/or adoption? Check all that apply.

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* 7. Would you refer other people to All-Options?

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* 8. In what ways would you like to stay connected with All-Options? Check all that apply.

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* 9. Would you like to share your story about pregnancy, parenting, abortion, or adoption? Your story can help All-Options reach other people who need our support, raise money for our programs, and make people more compassionate about others' experiences.

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* 10. If you answered yes to any of the options for staying in connection with All-Options, please provide your name and email and/or phone number here:

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* 11. If you would like to be entered into our quarterly drawing for a Target gift card, please enter your name and phone number here. This information will be kept confidential.

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