PUP Client Satisfaction Survey
Let us know how we did!
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1.
How satisfied were you with the assistance you received MilkWorks?
(Required.)
Very satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
Very satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
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2.
Do you have a better understanding of how to use and clean your breast pump, after coming to MilkWorks?
(Required.)
Yes
No
I would like more information
Yes
No
I would like more information
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3.
Were you given information about other services that MilkWorks provides?
(Required.)
Yes
No
I do not remember
Yes
No
I do not remember
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4.
Was there anything else we could've helped you with?
(Required.)
Yes
No
If yes, please elaborate
5.
How did you hear about MilkWorks?
My Provider/OBGYN
My Child's Provider/Pediatrician
Hospital
Family Member/Friend
Employer
Web Search
Social Media
Other (please specify)