Backline Caller Feedback Survey

As someone who has called our Talkline, your thoughts and experiences are very important to us. Your honest responses in this survey will help improve Backline services to support people in their decisions and experiences with pregnancy, parenting, abortion and adoption.

This survey is ANONYMOUS. 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 Shelly Dodson, Talkline Director at or 812-558-0089.

Thank you again for your participation in this survey.

* 1. How did you first contact the Talkline?

* 2. If someone did not answer on your first call, did you eventually talk to a Backline peer counselor?

* 3. Was this your first call to Backline?

* 4. If you've called the Talkline before, how many times have you talked to someone?

* 5. How did you hear about Backline? (select more than one option if applicable):

* 6. When you called, who were you seeking support for? (select more than one answer if applicable):

* 7. We know that your reasons for calling the Talkline may include many complex issues. Please check any of the following issues or situations that prompted you to call Backline.

* 8. If you had to pick the ONE main reason that you called the Talkline, what would it be?

* 9. Please tell us how you would rank your overall experience calling Backline.

* 10. Please tell us how you would rank other aspects of your call to Backline.

  Poor Fair Good Very Good Excellent Don't Know or Doesn't Apply
Hours the Talkline is open
Ability to reach a peer counselor
Peer Counselor's listening skills
Peer Counselor's ability to be open & nonjudgmental
Length of time allowed for your call
Helpfulness of ideas, information or referrals offered to you

* 11. Please tell us more about your experience calling Backline. Was there anything specific that you found helpful?

* 12. When you think about your call to Backline, was there anything that could have been improved?

* 13. We recognize that many issues and factors may impact a person's experience with pregnancy, parenting, abortion, and/or adoption. For you, which of the following have been a source of SUPPORT or HELP?

* 14. For you, which of the following have been a source of DISTRESS or PROBLEM?

* 15. In a perfect world, what might have helped or provided more support for you in your situation or decision?

* 16. We welcome any other comments or concerns you would like to share about your experience using our Talkline.