Steps to Healing

After Abortion

Leave this field blank

First Name

Last Name

Email

Mailing Address 1

Mailing address 2 (optional)

City

State

Zip code

Telephone

What type abortion(s) have you experienced?

Surgical abortion

Medication (pill) abortion

Both surgical and medication abortions

Using these date ranges, how long ago was your most recent abortion?

1 week or less

2 to 5 weeks

6 to 12 weeks

4 to11 months

1 to 5 years

6 to 10 years

11 years or more

What would you like us to know about you? (optional)

Have you attended counseling, abortion healing, or other program(s) to address the impact it has had on you?

Yes

No

Do you have any questions for us? (optional)

All information you send us is kept strictly confidential.

Menu