PUP Client Satisfaction Survey

Let us know how we did!

Question Title

* 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

Question Title

* 2. 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

Question Title

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

Yes

No

I do not remember

Yes

No

I do not remember

Question Title

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

Yes

No

If yes, please elaborate

Question Title

* 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)