Share Pregnancy & Infant Loss Support

Share Support Group Survey

How did you hear about Share?

Internet
Caregiver or Hospital
Friend/Family

How long has it been since your loss?

1-3 months
4-6 months
7-9 months
10-12 months
Other

Is online support your primary means of support?

Yes
No

Please describe the resources that work best for you? Examples: Attending support groups, closed parent support online groups, printed materials

This online chat helped meet my needs?

Yes
No, please explain below

Do you feel the online moderators were knowledgeable and helpful?

Yes
No
Indifferent, please explain

What could we do to help improve this online chat?

What topics would you like to see discussed?

I would participate in another online chat?

Yes
No

My zip code is: (used to determine the communities we serve)

Neon CRM by Neon One

Timeout Warning