MTB Client Feedback Survey

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* 1. How did you contact MotherToBaby?

Online chat

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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.”

	1 - Nothing At All	2	3	4	5 - A Great Deal
Knowledge Before Contacting MotherToBaby	Knowledge Before Contacting MotherToBaby 1 - Nothing At All	Knowledge Before Contacting MotherToBaby 2	Knowledge Before Contacting MotherToBaby 3	Knowledge Before Contacting MotherToBaby 4	Knowledge Before Contacting MotherToBaby 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.”

	1 - Nothing At All	2	3	4	5 - A Great Deal
Knowledge After Contacting MotherToBaby	Knowledge After Contacting MotherToBaby 1 - Nothing At All	Knowledge After Contacting MotherToBaby 2	Knowledge After Contacting MotherToBaby 3	Knowledge After Contacting MotherToBaby 4	Knowledge After Contacting MotherToBaby 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.”

	1 - Not At All	2	3	4	5 - Very Much
Helpfulness of Information	Helpfulness of Information 1 - Not At All	Helpfulness of Information 2	Helpfulness of Information 3	Helpfulness of Information 4	Helpfulness of Information 5 - Very Much

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.