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Maternal Satisfaction Survey – 2

Program Feedback

Your Shopping Experience

Your insights will help us enhance our services. Please take a moment to share your thoughts on your experience so far.

Please tell us how satisfied you are with the following:(Required)

	Very Satisfied	Satisfied	Neutral	Dissatisfied	Very Dissatisfied
Quality of Food
Food Variety
Checkout Experience

Did you receive your order within the expected timeline (5-7 business days)?(Required)

Yes

No

Please provide details

Did you receive your order at the correct address?(Required)

Yes

No

Please provide details

Did you receive a complete order – meaning, was everything you ordered included in your deliveries?(Required)

Yes

No

Please provide details

Overall, how satisfied are you with the online shopping and checkout experience?(Required)

Very Satisfied	Satisfied	Neutral	Dissatisfied	Very Dissatisfied

Do you have any suggestions for how we can improve the online store (food choices, website, etc.)?(Required)

Nutrition Coaching

As you may know, Attane Health also offers free nutrition coaching in addition to the online food ordering.

How would you describe your current nutrition knowledge:(Required)

1 Very Low	2 Low	3 Moderate	4 High	5 Very High

During the Attane Health program, did you sign up for and participate in the free nutrition coaching?(Required)

Yes, I participated and met with a coach

I signed up but never had any coaching sessions

No, I did not sign up

Why did you not participate in nutrition coaching?(Required)

Select all that apply

Not interested

Lack of time

Unaware of the service

Unable to reach coach

Other

Other (Please Specify)

Did participating in one-on-one Nutrition Coaching change your nutrition knowledge at all?(Required)

1 (No change in my knowledge)

2

3

4

5 (Significantly improved my nutrition knowledge)

Did participating in one-on-one Nutrition Coaching change how you manage your health at all?(Required)

1 (Did not change how I manage my health)

2

3

4

5 (Significantly improved my ability to manage my health)

Do you have any suggestions for how we can improve the nutrition coaching?

Would you like a customer success representative to contact you regarding your responses around food ordering or nutrition coaching?(Required)

Yes

No

If you have feedback for the Attane Health program, please provide below.

We are very interested to hear any of your thoughts and comments.

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