All-Options' Hoosier Abortion Fund Client Feedback Survey

As someone who has used the All-Options' Hoosier Abortion Fund’s services, your thoughts and experiences are very important to us. Your honest responses in this survey will help improve our services to support people in all of 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 Amanda Pretlow Lamm, Center Programs Coordinator, at amanda@all-options.org or 812-558-0089 ext. 4.

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

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* 1. Please tell us how you would rank your overall experience interacting with the Hoosier Abortion Fund.

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* 2. Please tell us more about your experience calling the Hoosier Abortion Fund. What was helpful to you?

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* 3. When you think about your interaction with the Hoosier Abortion Fund, what could have been improved?

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* 4. Please tell us how you would rank other aspects of your call to the Hoosier Abortion Fund:

  Poor Fair Good Very Good Excellent
Quality of information, resources, or referrals given to you
Staff/Volunteer Helpfulness
Staff/Volunteer ability to be open and non-judgmental
Staff/Volunteer friendliness
Amount of money pledged for abortion services

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* 5. Please choose the answer that best fits your experience: As a result of receiving services through All-Options, I have more positive feelings about abortion.

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* 6. Please choose the answer that best fits your experience: As a result of receiving services through All-Options, I have more positive feelings about other pregnancy decisions (such as parenting or adoption). 

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* 7. Would you refer others to us?

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* 8. Would you want to attend or participate in an post-abortion support group hosted by All-Options? 

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* 9. In what ways would you like to stay connected with All-Options? Please check all that apply. 

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* 10. If you answered yes to any of the previous options, please provide your name and email and/or phone number here:

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* 11. If you're interested in sharing your abortion story: 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 with pregnancy, parenting, abortion, and adoption. If you'd like to share your story or your thoughts about All-Options for us to use in this way, please use the box below.

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* 12. Is there anything else you'd like to share about your experience?

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* 13. If you would like to be entered into our quarterly drawing for a Target gift card, please enter your client code here. This information will be kept confidential.

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