Step 1 of 2 50% HiddenEmail (optional) Name (optional) First Last HiddenYour Client ID (optional)Which of these best describes you?* I am a current AFMC client I am a former AFMC client Your Current/Previous Membership Type 1 Month 3 Months 6 Months What state are you from?AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificWhy 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 My/Our adoption funding ran out I am/We are no longer pursuing adoption I was/We were not contacted by an expectant mothers through your site I/We only became (a) member(s) so I could avoid paying a $3K marketing fee if I/we matched There weren't enough available situations (in general) There weren't enough available situations that worked with my particular state AMFC had poor communication My AFMC membership was too expensive What did you like about AFMC service or its platform (if anything)?What did you dislike about AFMC or its platform (if anything)?What features or improvements would you like to see AFMC implement in the future (if anything)?Is there any content or materials you think we could provide in order to help onboard or educate new clients/prospective adoptive parents about adoption in general or how to work with us? If so, please feel free to provide your suggestions below.Would you be willing to share information relating to your personal adoption journey? Yes No We would like to understand what barriers or challenges you may have faced while attempting to adopt a child. This information will be used to help us understand what services we could potentially provide to other adoptive parents so that they have greater likelihood of achieving a successful and affordable adoption in the future. Please tell us about your adoption journey to date...How long have you been waiting to adopt? 0 - 3 months 4 - 6 months 7 - 9 months 10 - 12 months 13 - 18 months 19 - 24 months Over 2 years What have been your TOP 3 biggest challenges so far in your adoption journey so far? Affording private adoption Researching the adoption process Understanding state and local laws related to adoption Preparing for my home study certification Finding a highly rated adoption professional we can trust Being able to tell hte difference between a real adoption opportunities and a scam Waiting to be matched (length of the process) Telling family, friends, and/or coworkers that we plan to adopt Dealing with a previously failed adoption Creating a mutual adoption plan with our child's birth mother Maintaining privacy - Navigating how much information about our family to make available online Understanding the financial risk factors involved in adoption Understanding medical or health risk factors associated with a situation How are you paying for your adoption? Adoption grant Loan cash credit cards family and friends fundraising When you began your adoption journey, what was the maximum amount that you were willing to spend?Have you ever walked away from an adoption situation because you could not afford the estimated final cost?YesNoPrefer Not To AnswerHow much have you spent on your adoption to date?Estimated Break Down of Adoption Related FeesPlease write "0" if any of the following fees if you do not know the amount or they are not applicable to your personal adoption situation. Home Study FeeDocument Preparation FeeAdoption Agency Program Fees (if applicable)Adoption Consultant FeesAdoption Attorney/Legal FeesOther Agency Advertising/Networking Fees (Do not include AFMC Membership Fees)Birth Family CounselingBirth Mom ExpensesTravel ExpensesPost Placement ExpensesMisc. ExpensesTotal CostHow much of that total cost will be/would be refunded if your adoption failed?Name of your Adoption Agency, Attorney or Consultant How would you rate your overall experience with them? Very Satisfied Satisfied Neutral Unsatisfied Very Unsatisfied
