Please complete our Women’s Polls and short survey form below.
Indicate in the form below, if you want our office to respond to your input with a free analysis and referral help.


Take a moment to participate in our short polls to help us better understand our visitors. Then, complete the form below to document your expression of how abortion impacted your life.

How do you remember the abortion?

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Describe the impact of abortion on your life

This poll asks a question about how abortion impacted your life. Think for a moment about how it has affected or is affecting you since the abortion.

What statement best describes your answer? *

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Thank you for taking our Women’s survey!

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