SurveyMonkey Powered Online Survey

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. If you have any questions, suggestions or concerns, please contact Parker Dockray, All-Options Executive Director, at parker@all-options.org.

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!

Question Title

* 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.

I called the All-Options National Talkline

I received diapers from the Hoosier Diaper Program

I got help covering the cost of my abortion from the Hoosier Abortion Fund

I got help with a judicial bypass for my abortion

I called the Faith Aloud Clergy Counseling Line

I received period/menstrual hygiene products from the All-Options Pregnancy Resource Center

Other Service Used

Question Title

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

Poor

Fair

Good

Very Good

Excellent

Poor

Fair

Good

Very Good

Excellent

Question Title

* 3. What was helpful about your experience with us?

Question Title

* 4. What, if anything, would have made your experience better?

Question Title

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

	Poor	Fair	Good	Very Good	Excellent	N/A
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	Quality of information, resources, or referrals given to you N/A
Quality of Staff or Volunteer's Listening Skills	Quality of Staff or Volunteer's Listening Skills Poor	Quality of Staff or Volunteer's Listening Skills Fair	Quality of Staff or Volunteer's Listening Skills Good	Quality of Staff or Volunteer's Listening Skills Very Good	Quality of Staff or Volunteer's Listening Skills Excellent	Quality of Staff or Volunteer's Listening Skills N/A
Using text messaging to communicate with Staff or Volunteers and fill out intake forms	Using text messaging to communicate with Staff or Volunteers and fill out intake forms Poor	Using text messaging to communicate with Staff or Volunteers and fill out intake forms Fair	Using text messaging to communicate with Staff or Volunteers and fill out intake forms Good	Using text messaging to communicate with Staff or Volunteers and fill out intake forms Very Good	Using text messaging to communicate with Staff or Volunteers and fill out intake forms Excellent	Using text messaging to communicate with Staff or Volunteers and fill out intake forms N/A
Staff or Volunteer's responsiveness to your initial call or request	Staff or Volunteer's responsiveness to your initial call or request Poor	Staff or Volunteer's responsiveness to your initial call or request Fair	Staff or Volunteer's responsiveness to your initial call or request Good	Staff or Volunteer's responsiveness to your initial call or request Very Good	Staff or Volunteer's responsiveness to your initial call or request Excellent	Staff or Volunteer's responsiveness to your initial call or request N/A
Staff or Volunteer's ability to be open and non-judgmental	Staff or Volunteer's ability to be open and non-judgmental Poor	Staff or Volunteer's ability to be open and non-judgmental Fair	Staff or Volunteer's ability to be open and non-judgmental Good	Staff or Volunteer's ability to be open and non-judgmental Very Good	Staff or Volunteer's ability to be open and non-judgmental Excellent	Staff or Volunteer's ability to be open and non-judgmental N/A
Amount of time allowed for your call or meeting	Amount of time allowed for your call or meeting Poor	Amount of time allowed for your call or meeting Fair	Amount of time allowed for your call or meeting Good	Amount of time allowed for your call or meeting Very Good	Amount of time allowed for your call or meeting Excellent	Amount of time allowed for your call or meeting N/A

Please share more, if you'd like.

Question Title

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

I learned more about pregnancy/parenting/abortion/adoption

I feel more supported in my own pregnancy/parenting/abortion/adoption experience or decision

I feel less alone in my pregnancy/parenting/abortion/adoption experience or decision

I believe everyone deserves support for their pregnancy, parenting, abortion, and adoption experiences and decisions

I feel inspired to support other people’s pregnancy, parenting, abortion, and adoption experiences and decisions

I feel more connected to resources that can support me in my pregnancy/parenting/abortion/adoption experience or decision

Receiving services from All-Options has not changed my beliefs or feelings about these issues

If you’d like to say more about how All-Options has influenced your beliefs or feelings about pregnancy, parenting, abortion, and/or adoption, please comment here:

Question Title

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

Yes

Question Title

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

Add me to the All-Options email list (about 2 emails per month)

I’ll follow you on Facebook, Twitter or Instagram at @AllOptionsNatl or @AllOptionsPRC

I do not want to stay connected with All-Options

Other (please specify)

Question Title

* 9. Would you be interested in sharing your story about pregnancy, parenting, abortion, or adoption? If so, we may contact you in the future with opportunities to talk to the media or to be part of our outreach or fundraising campaigns. You can change your mind at any time, and have total control over what information you do or don't share.

Please check all that apply:

I would be interested in sharing my story for All-Options outreach or fundraising.

I would be interested in talking to the media about my experiences (radio, newspaper, blog posts, etc).

I am not interested in sharing my story at this time.

Other (please specify)

Question Title

* 10. If you want to join our email list or are interested in sharing your story, please provide your name, email, and phone number here:

Name:

Email address:

Phone number:

Question Title

* 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.

Name:

Phone: