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The Field(s) in Which You Work
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Do you work directly with pregnant clients/patients?
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Yes, I work with clients/patients directly.
No, I do not work with clients/patients directly.
What is your position [check all that apply]
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Physician
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What is your position?
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Are staff at your agency expected to make referrals for abortion?
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Yes
No
I don't know
Are staff at your agency supported in making referrals for abortion?
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Yes
No
I don't know
What brought you to our site? [check all that apply]
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I have a client/patient who needs information about abortion.
I am looking around as a follow-up to the training I attended on how to make referrals for unintended pregnancy.
I am looking for tools to help staff make referrals for unintended pregnancy.
I am updating our agency policies and protocols.
I am updating client/patient forms.
I am looking for ways to demonstrate that our agency is a place that is supportive of all pregnancy decisions, including abortion.
Other
Indicate what brought you to our site
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What resources are you interested in? (check all that apply)
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Policies and Protocols for Referrals
Counseling Scripts and Guides
Client/Patient Forms to Support Referrals
Hiring and Training Employees to Make Referrals
Referrals and Partners on the Web
Posters, Brochures, and Collateral
Have you received a Provide training on making referrals for unintended pregnancy?
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Yes
No
No, but I'm registered to attend an upcoming training
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