1.How satisfied were you with the assistance you received MilkWorks?

Very satisfied

Satisfied

Neutral

Dissatisfied

Very Dissatisfied

Very satisfied

Satisfied

Neutral

Dissatisfied

Very Dissatisfied

2.MilkWorks provided a comfortable and inclusive environment to obtain and learn about using a breast pump.

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

3.Do you have a better understanding of how to use and clean your breast pump, after coming to MilkWorks?

Yes

No

I would like more information

Yes

No

I would like more information

4.Were you given information about other services that MilkWorks provides?

Yes

No

I Don't Remember

Yes

No

I Don't Remember

5.Was there anything else we could've helped you with?

No

Yes, please elaborate

6.How did you hear about MilkWorks?

My Provider/OBGYN

My Child's Pediatrician

Hospital

Family Member/Friend

Employer

Web Search

Social Media

Other (please specify)

7.Select the location of your visit.

Lincoln

Omaha