Congratulations on your adoption with Nightlight!  We are so pleased to have played a role in building your family, and wish you the best for the future.  In a continuous effort to improve our services, please take a few minutes and reflect on your experience with Nightlight.

Family Name

Family Email (required)



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. Paperwork was clear and understandable.
1. Strongly disagree2. Somewhat disagree3. Neutral4. Somewhat agree5. Strongly agree

2. The Home Study was handled professionally and completed in a timely manner.
1. Strongly disagree2. Somewhat disagree3. Neutral4. Somewhat agree5. Strongly agree

3. Paperwork was sent to me, and processed after it was received in a timely manner.
1. Strongly disagree2. Somewhat disagree3. Neutral4. Somewhat agree5. Strongly agree

4. I feel prepared to parent my adopted child.
1. Strongly disagree2. Somewhat disagree3. Neutral4. Somewhat agree5. Strongly agree

5. I feel prepared to travel to the foreign country.
1. Strongly disagree2. Somewhat disagree3. Neutral4. Somewhat agree5. Strongly agree

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

7. The dossier process was handled professionally and in a timely manner.
1. Strongly disagree2. Somewhat disagree3. Neutral4. Somewhat agree5. Strongly agree

8. I would recommend Nightlight to a friend or family member.
1. Strongly disagree2. Somewhat disagree3. Neutral4. Somewhat agree5. Strongly agree

9. Communication with Nightlight staff met my expectations.
1. Strongly disagree2. Somewhat disagree3. Neutral4. Somewhat agree5. Strongly agree

10. Communication with social workers was comfortable in quality and quantity.
1. Strongly disagree2. Somewhat disagree3. Neutral4. Somewhat agree5. Strongly agree

11. I understand the referral process and was aware of where I was in the process.
1. Strongly disagree2. Somewhat disagree3. Neutral4. Somewhat agree5. Strongly agree

12. Fees were clearly explained, and billed and processed promptly.
1. Strongly disagree2. Somewhat disagree3. Neutral4. Somewhat agree5. Strongly agree

13. I can envision becoming a financial donor to Nightlight.
1. Strongly disagree2. Somewhat disagree3. Neutral4. Somewhat agree5. Strongly agree

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14. I would like to refer this friend to Nightlight so they can learn more about your programs.

Friend's Name

Friend's Email Address

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

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

Other Comments: