Satisfaction Survey

The Heart Gallery wants to do everything we can to make sure that your path to adoption is as stress free and efficient as possible. In order to do so, it's very important that we hear from you so that we may help in any way possible. Please fill out the following survey and keep us updated as often as you'd like.

NOTE: Fields marked with an * are required.

First Name/Last Name:
Address:
Suite, Apt #
City:
State:
County:
Zip Code:
Home Phone:
Work Phone:
Fax:
Email:
How did you first learn about the Heart Gallery of NJ?	If other specify :
Was the Heart Gallery Site easy to use?	Yes No
Were you matched with the child/sibling you anticipated?	Yes No
If you contacted DYFS, how long was it before you got a response?
If you contacted DYFS, how did you do it?	1-800-99-ADOPT Email to the Heart Gallery website Other
Did you get all the information you requested from DYFS?	Yes No
Are you satisfied with the way DYFS handled the adoption process?	Yes No
Share any specific issues, concerns or success stories you've had during the adoption process: