Mom Bag Survey
Please rate your Mom Bag™ by Post-Op Provisions
Please rate how useful you found each item from 1 (Not Useful) to 5 (Can't Live Without It)
(1) Not Useful
(2) Somewhat Useful
(3) Useful
(4) Essential
(5) Can't Live Without It
Did Not Use
Did Not Receive
Maxi Pads
Hot / Cold Packs
Sleeves for Cold Packs
Mesh Panties
Dermoplast Spray
Tucks Pads
Epsom Salt
Disposable Cloths
Peribottle Caps
Miralax
Fleets Enemas
Chux Pads
Hydrogel Nipple Pads
Nipple Butter
Nursing Pads
Ear Plugs
Sleep Mask
Dry Shampoo
Lip Balm  
No Rinse body wash
Hand creme
Natural deodorant
Cosmetic bag
Tote bag
Overall Product Rating
1 (Not Useful)
2 (Somewhat Useful)
3 (Useful)
4 (Essential)
5 (Couldn't have done without it)
Mom Bag™
Comments:
Your answer
Is there anything you wish we'd included?
Your answer
How would receiving this product from a facility or practice influence your likelihood to recommend them?
No change
Might recommend
Would recommend if asked
Would tell all your friends
Would advertise for them
Likelihood to Recommend
How would receiving this product from a facility or practice influence your rating of them?
Decrease
No Change
Slight Increase (1-2 points/10)
Moderate Increase (3-4 points/10)
Definitely a 10 ('Top Box')
Rating Change
How did you find out about us?
Anything else you'd like us to know?
Your answer
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