Baby Bundles Feedback Form Your feedback is very valuable. It helps us improve and share the impact of our baby bundles program. Your responses are confidential and will only be used for evaluation purposes and statistical information. We appreciate you taking time to complete this survey. Please check the appropriate response following each question or statement. THANK YOU! How old was you baby when the bundle arrived? *Not Born0-2 Months2-4 Months5-6 MonthsGender of Baby: *MaleFemaleUnknownThe baby bundle was delivered by: *Public Health NurseCommunity AgencyOtherName of the Public Health Nurse: *Name of the Community Agency: *How did you get your bundle? *How many adults in your family? *How many children in your family? *Please list other items that you might find useful:Sharing your stories helps us gather the items to make our baby bundles. How did the baby bundle help you? NameSubmit Follow us on social media!