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Name
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Which of these best describes you?
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I am a current AFMC client
I am a former AFMC client
What state are you from?
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Why did you cancel your membership with AFMC?
*
I/We matched with one of AFMC's available situations
I/We matched with an expected mother who contacted me through your website
I/We matched through my adoption agency
I/We matched through my adoption attorney
I/We matched through my adoption consultant
I/We matched independently without the use of an adoption professional
Other
How likely are you to recommend AFMC to others?
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Please select
Definitely Would Recommend
Probably Would Recommend
Neutral
Probably Would Not Recommend
Definitely Would Not Recommend
How would you rate your overall experience with AFMC?
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Extremely Positive
Very Positive
Positive
Neutral
Negative
Very Negative
Extremely Positive
How long did it take you to successfully match with AFMC?
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Please select
0 - 3 months
4 - 6 months
7 - 9 months
10 - 12 months
13 - 18 months
19 - 24 months
Over 2 years
How long have you been waiting to adopt (overall)?
0 - 3 months
4 - 6 months
7 - 9 months
10 - 12 months
13 - 18 months
19 - 24 months
2 - 3 Years
3 - 4 Years
4 - 5 years
More than 5 years
What made AFMC service stand out from other options?
What was your deciding factor for using AFMC?
Was there anything we could have differently?
Is there anything else that you would like to comment on or say about AFMC?
Testimonial/Review of AFMC
May be shared publicly on AFMC's social media accounts and website.
Share Publicly
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Yes - please send consent
No
Yes - but no video or photos please.
Shared on website, social media and marketing material.
Photos - Optional
Drop files here or
Select files
Accepted file types: jpg, png, tiff, svg, Max. file size: 40 MB.
We'd love to share some photos of your new family with your testimonial.
Video/Audio Recording - Optional
Drop files here or
Select files
Accepted file types: mp4, mpeg-4, 3gp, Max. file size: 128 MB.
Video or Audio recording to go with slide show of your adoption journey.
How should we refer to you on your testimonial?
First Name Only
Anonymous
Former Client
May we use you as a former client reference if a potential new client has questions?
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No
How should we have them contact you?
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No Contact Please
None of your contact information will be shared publicly. You will also know ahead of time that someone may be reaching out to you with questions.
Phone Number
(Will NOT be posted publicly)
