Referral Team Survey

Referral Phase Survey

Congratulations! Now that you've received your referral and are headed towards the travel phase, we'd love your feedback! Please complete this survey. This will allow us to know what we're doing well and what we can improve!

Name
FirstLast
Enter your email address:*
Enter EmailConfirm Email
Who was your Referral Counselor?*
1. My Counselor returned phone calls within the 24 hour return policy.*
Please choose one answer.
2. My Counselor answered questions thoroughly, accurately, and in a timely manner.*
Please choose one answer.
3. My Counselor sent information via email that was useful in educating my family on aspects of my adoption.*
Please choose one answer.
4. Please rate your overall satisfaction with your Counselor.*
Please choose one answer.
5. Please share any additional comments regarding your Counselor and your experience. *