Help Loving Bottoms Diaper Bank Help You!

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We want to make sure our period kits are making a difference for you and your family. Your feedback helps us to get rid of the not so helpful stuff and make the helpful stuff more helpful. Please take a minute to fill out our survey and we promise to keep your answers private and anonymous. Thank you so much!

Agency where you get your period kit *

# Menstruating Individuals in your household

Other:

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Is an adult in your household working outside your home?

Yes

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Does getting period supplies at this agency help you feel connected to other community services?

Yes

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Does getting period supplies at this agency help you feel like the community cares about your family?

Yes

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Receiving these period supplies for myself and/or child allows me/us to (check all that apply):

go to work each day

reduce my stress

feel comfortable during daily activities

go to school regularly

leave home

feel healthier

feel cleaner

buy food

buy non-food items like toothpaste or soap

Other:

I prefer to use (check all that apply):

pads

tampons

liners

menstrual cup

If I don't have enough supplies I (check all that apply):

use something else

ask a friend, family member or neighbor for help

not use any product at all

receive products from an agency other than here

Is there anything you want Loving Bottoms Diaper Bank to know?

Submit

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