PMA Airlift Experience Survey (nomination)

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Thank you so much for sharing your experience about receiving a PMA Airlift Package with us. This short survey will help as we continue improve the program for all our recipients.

Email *

My connection to diabetes is best described as ____ ? Please check all that apply. *

I live with T1D

I have a child with T1D

I have a grandchild with T1D

I have a friend or loved one with T1D

I work with people living with T1D

I don't have a connection to T1D

Other:

Required

The nomination form was *

Easy to complete

Asked enough information for me to inform the sender of what was needed

Other:

How did you know that the package had been received? *

I received an email from the DFC saying the package was shipped

I heard from the person I nominated that they received package

I never hear if the package was received or shipped

Other:

I feel like the PMA Airlift package that was sent *

made a lasting impact on the one who received it

was a great pick me up but the impact did not last long

offer support and resources needed for the person that received it

needs more materials and resources (please expand on the resources needed in the next questions)

Other:

How could the PMA Airlift Program offer more support?

What resource should be added to the PMA Airlift Package, if any? Why? *

Anything else you would like us to know about the PMA Airlift Package you received.

Send me a copy of my responses.

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