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MTB Client Feedback Survey
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1.
How did you contact MotherToBaby?
(Required.)
Online chat
Text
Email
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2.
Before today, how much did you know about the topics you discussed with the MotherToBaby specialist? Please use a scale of 1 to 5. 1 being “I knew nothing at all” and 5 being “I knew a great deal.”
(Required.)
1 - Nothing At All
2
3
4
5 - A Great Deal
Knowledge
Before
Contacting MotherToBaby
1 - Nothing At All
2
3
4
5 - A Great Deal
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3.
After talking with the MotherToBaby specialist, now how much do you know about the topics you discussed? Again, using a scale of 1 to 5, 1 being “I know nothing at all” and 5 being “I know a great deal.”
(Required.)
1 - Nothing At All
2
3
4
5 - A Great Deal
Knowledge
After
Contacting MotherToBaby
1 - Nothing At All
2
3
4
5 - A Great Deal
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4.
Do you think the information you received from the specialist will help you make a decision about this exposure moving forward? Please use a scale of 1 to 5, with 1 being “The information will not help me at all” and 5 being “The information will help me very much.”
(Required.)
1 - Not At All
2
3
4
5 - Very Much
Helpfulness of Information
1 - Not At All
2
3
4
5 - Very Much
5.
If you would like to share feedback with MotherToBaby, please add a brief message below, including your first name and state of residence. Please be aware that these comments will be shared with MotherToBaby staff and may also be shared publicly. If you would like a response from MotherToBaby, please include your contact information.
Thank you so much for taking the time to provide us with feedback! If you have more questions, please don’t hesitate to contact us again in the future or visit us online at
MotherToBaby.org
. Take good care.