Client Engagement Survey 1

Feedback on Services (Anonymous) - optional

For this section of the survey, data will be collected anonymously and used by our Clients Services team to understand how we can improve future client experiences, what new tools or services we may want to offer, and if we can improve partnerships with any of our clinics.

How would you rate your overall experience with The Brigid Alliance?**

How can we improve the intake process? (Open-ended)*

How could we improve communication for future clients? Ex. Simplified checklist, dedicated clinic contact person, more detailed itinerary, etc. (Open-ended)*

What additional support would you have liked to receive after your procedure/travel? (Open-ended)*

Would you have used any of these additional resources prior to you traveling for your appointment (check all that apply)*

Guides for navigating travel

Guides for host city amenities

Reference guide with FAQs

Pre-travel orientation session

Post-travel feedback call

Resources for procedure funding

Other types of support that may be you would have appreciated? (Open-ended)*

Any other comments or feedback about your experience? (Open-ended)

Clinic Services

What clinic was your appointment with?*

Was your appointment on time?*

Yes

Prefer not to answer

Don't recall

Was your provider on time?*

Yes

Prefer not to answer

Don't recall

How was the quality of care at your clinic?*

Did your clinic provide any resources or information about funding resources for either your procedure or travel?

Was there any aspect of your visit to the clinic that was difficult or could be improved? Please provide details. (Open-ended)

Tell Your Story (Confidential) - optional

Voluntarily choosing to share the story of your experience with The Brigid Alliance is a personal choice. Some clients choose to tell their stories, others do not. If you do choose to share your story, you’ll be helping in many ways. Stories help correct misinformation about abortion, support future clients, and raise funds to make sure people can access abortion care. Your story is yours, we won't share it without your permission, and at your request, we will take it down at any time. If you're willing to share, please do so below. You don't have to fill out every field. Everything stays confidential unless you say otherwise. We need at least one way to contact you about your story. We also pay storytellers $60 per hour. Thank you for trusting us with your story. If you choose to tell us your story below, someone from our External Relations team will reach out.

Tell us your story (Open-ended)

Privacy

I am comfortable sharing my first name only

I am comfortable sharing my first and last name

Please use a fake name

List me as “Anonymous”

The Brigid Alliance has my permission to use my story for:

Fundraising

Social Media

News Media

My story is just for The Brigid Alliance

Preferred communication method:

Mobile Phone (on file)

Email (this is the email you received the survey at)

New contact method (someone from our team will reach you at this current email address to confirm)

Compensation

Your responses to either of the two survey sections is greatly appreciated! Once you finish the survey, we will provide payment using the method used during your trip. If you would like to update your payment method, you can check one of the boxes below and someone from our staff will follow-up with you to confirm details. Otherwise, check, “Previous payment method”. Please note that The Brigid Alliance distributes payments once a month on the last weekday of the month.

Payment Method

Previous payment method

New payment method

Consent

All of my questions and concerns about this survey have been addressed. I choose, voluntarily, to participate in this survey. I certify that I am at least 18 years of age.*

Yes

Closing

Thank you for taking the time to provide your valuable feedback. We are committed to improving your experience and appreciate your help!