Angel Memory Box Survey
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1
. What gestation was your baby born?
What gestation was your baby born?
>36 weeks
30-36 weeks
25-29 weeks
20-24 weeks
16-20 weeks
<16 weeks
*
2
. What were the most helpful items in the angel memory box you received from Mikayla's Grace? List up to three items.
What were the most helpful items in the angel memory box you received from Mikayla's Grace? List up to three items.
Memory Box
Making memories in Hospital Handout
Funeral Handout
Lock of hair card with envelope
Lock of hair tin
Handprint keepsake card
Footprint keepsake card
Teddy bear
Journal
Camera
Votive candle
Father Grief booklet (Strong and Tender)
Little Footprints memory book
Casting kit
Additional resources
Baby Blanket
Baby gown with matching booties and hat
*
3
. What was the least helpful item in the angel memory box you received from Mikayla's Grace?
What was the least helpful item in the angel memory box you received from Mikayla's Grace?
Memory Box
Making memories in Hospital Handout
Funeral Handout
Lock of hair card with envelope
Lock of hair tin
Handprint keepsake card
Footprint keepsake card
Teddy bear
Journal
Camera
Votive candle
Father Grief booklet (Strong and Tender)
Little Footprints memory book
Casting kit
Additional resources
Baby Blanket
Baby gown with matching booties and hat
4
. Were there any items you did not use at all? In the other category please share why you didn't use these iitems.
Were there any items you did not use at all? In the other category please share why you didn't use these iitems.
Memory Box
Making memories in Hospital Handout
Funeral Handout
Lock of hair card with envelope
Lock of hair tin
Handprint keepsake card
Footprint keepsake card
Teddy bear
Journal
Camera
Votive candle
Father Grief booklet (Strong and Tender)
Little Footprints memory book
Casting kit
Additional resources
Baby Blanket
Baby gown with matching booties and hat
Other (please specify)
5
. Are there any additional items that you think would be helpful to include for future donations?
Are there any additional items that you think would be helpful to include for future donations?
6
. Did you access the resource page on our website?
Did you access the resource page on our website?
Yes
No
7
. If you would you like your email added to our monthly newsletter list, please list your email below. If you'd rather the survey remain anonymous, you can also sign up for this newsletter using the Subscribe to Email in the right hand column of our website.
If you would you like your email added to our monthly newsletter list, please list your email below. If you'd rather the survey remain anonymous, you can also sign up for this newsletter using the Subscribe to Email in the right hand column of our website.
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