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BFOB Quick Survey
Battle for our Babies Survey
Please take few moments to tell us how we did and how we can improve
Did you attend the Inaugural BFOB Event at MOCA Cleveland?
Yes
No
Have you been to MOCA Cleveland before?
Yes
No
How satisfied were you with this event?
Very Satisfied
Satisfied
Neutral
Somewhat Satisfied
Not Satisfied
Location
Content
Speakers
How can we improve this event?
What social media platform do you use?
Facebook
Twitter
Instagram
Other
I don't use social media
How likely are you to tell a friend about the issue of Infant Mortality?
1
2
3
4
5
Very Unlikely
Very Likely
Have you or a family member experienced a baby death?
Yes
No
Please answer the following questions:
Did the baby die during your or their pregnancy?
Did the baby die after he or she was born?
Did you or the family member see a doctor to talk about the death?
Yes
No
Did the doctor tell you or the family member to wait at least 18 months before having another baby?
Yes
No
Gender
Male
Female
Other
Rather not say
Ethnicity
Hispanic or Latino
Not Hispanic or Latino
Race
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Other
Rather not say
What other Race?
Please give your postal code
(optional) Join the BFOB Newsletter With Your Email To Keep Up To Date On Future Events
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