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Survey Reflecting the Home Study Services You Were Provided

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. Instructions on the required home study paperwork were clear and understandable.
1. Strongly disagree2. Somewhat disagree3. Neutral4. Somewhat agree5. Strongly agree

If something was unclear, what instruction could be clarified?

2. Communication with the home study coordinator was comfortable in quality and quantity.
1. Strongly disagree2. Somewhat disagree3. Neutral4. Somewhat agree5. Strongly agree

If you disagree, what could be done differently/better?

3. Communication with your social worker met your expectations.
1. Strongly disagree2. Somewhat disagree3. Neutral4. Somewhat agree5. Strongly agree

If you disagree, what could be done differently/better?

4. Your home study was competed in a timely manner and met the time-frame given to you.
1. Strongly disagree2. Somewhat disagree3. Neutral4. Somewhat agree5. Strongly agree

If not, what part of the process prolonged the completion of your home study?

5. The education requirements were understandable and easy to follow.
1. Strongly disagree2. Somewhat disagree3. Neutral4. Somewhat agree5. Strongly agree

If something was unclear, what instruction could be clarified?

6. The training and education you received was valuable and relevant.
1. Strongly disagree2. Somewhat disagree3. Neutral4. Somewhat agree5. Strongly agree

7. You feel more prepared to parent an adopted child than before you started your home study.
1. Strongly disagree2. Somewhat disagree3. Neutral4. Somewhat agree5. Strongly agree

8. The agency provided exceptional services and my over-all experience was good.
1. Strongly disagree2. Somewhat disagree3. Neutral4. Somewhat agree5. Strongly agree

If you disagree, what could be done differently/better?

9. I would recommend Nightlight to a friend or family member for home study services.
1. Strongly disagree2. Somewhat disagree3. Neutral4. Somewhat agree5. Strongly agree

If you disagree, what could be done differently/better?

10. Additional comments or concerns regarding the agency's home study services:

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