We hope your experience with Nightlight was a blessing. In a continuous effort to improve our services, please take a few minutes and reflect on your experience with Nightlight.

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Please rate the following statements on a scale of 1 to 5.
1 = Strongly disagree 2 = Somewhat Disagree 3 = Neutral 4 = Somewhat agree 5 = Strongly agree

1. When I contacted Nightlight for the first time, I was able to reach the pregnancy counselor right away.
1. Strongly disagree2. Somewhat disagree3. Neutral4. Somewhat agree5. Strongly agree

2. My counselor was knowledgeable and professional and able to answer my questions.
1. Strongly disagree2. Somewhat disagree3. Neutral4. Somewhat agree5. Strongly agree

3. Nightlight’s written materials and web site was helpful.
1. Strongly disagree2. Somewhat disagree3. Neutral4. Somewhat agree5. Strongly agree

4. The process was ethical and consistent with Biblical principles.
1. Strongly disagree2. Somewhat disagree3. Neutral4. Somewhat agree5. Strongly agree

5. I was prepared for the adoption process.
1. Strongly disagree2. Somewhat disagree3. Neutral4. Somewhat agree5. Strongly agree

6. I received support from my counselor.
1. Strongly disagree2. Somewhat disagree3. Neutral4. Somewhat agree5. Strongly agree

7. During the matching meeting with the adoptive parents, my counselor was supportive.
1. Strongly disagree2. Somewhat disagree3. Neutral4. Somewhat agree5. Strongly agree

8. My hospital experience was positive.
1. Strongly disagree2. Somewhat disagree3. Neutral4. Somewhat agree5. Strongly agree

9. I had adequate time alone with the baby in the hospital.
1. Strongly disagree2. Somewhat disagree3. Neutral4. Somewhat agree5. Strongly agree

10. I was prepared for the grief process.
1. Strongly disagree2. Somewhat disagree3. Neutral4. Somewhat agree5. Strongly agree

11. I feel I received adequate information about the legal process.
1. Strongly disagree2. Somewhat disagree3. Neutral4. Somewhat agree5. Strongly agree

12. My privacy was protected.
1. Strongly disagree2. Somewhat disagree3. Neutral4. Somewhat agree5. Strongly agree

13. I have received contact from the adoptive parents as promised or expected.
1. Strongly disagree2. Somewhat disagree3. Neutral4. Somewhat agree5. Strongly agree

14. I feel comfortable in contacting my counselor or the Nightlight office with any adoption related issues (grieving, the adoption process, contact with the adoptive parents, etc.)
1. Strongly disagree2. Somewhat disagree3. Neutral4. Somewhat agree5. Strongly agree

Please comment on areas of great satisfaction (5's):

Please comment on areas of great dissatisfaction (1's):

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