Event Feedback

Thank you for being part of this event with Missing Pieces Support Group. Whether you attended, volunteered, or supported in another way, your experience and perspective are important to us.

This short survey takes about 2–5 minutes and helps us improve future events, strengthen our programs, and demonstrate our impact when securing grant funding and community support.

Everything you share will remain completely confidential and unidentifiable, unless you tell us otherwise. Your privacy and trust are deeply respected.

We collect your email, first, and last name only to help us manage duplicate responses in our system.
Name
This information is confidential.
Optional if you'd like to receive future follow-ups through text
We ask for your zip code to better understand the geographic reach of our services. This information is used internally only.
Which event are you providing feedback on?
If the event is multiple days, provide the first day of the event
What best describes your role at this event?

Your Experience with the Event

Your voice matters to us. Please share your honest feedback. It helps us understand what’s working, what could be improved, and how we can better support you and others on this healing journey.
Please indicate how much you agree with the following statements about your experience.
Strongly DisagreeDisagreeNeutralAgreeStrongly Agree
I was satisfied with the event overall.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
The event location was convenient.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
The event was well organized.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I felt welcomed and included at this event.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I gained something meaningful from this experience.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I would recommend MPSG events to others.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I would attend a similar event in the future.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree

Help Us Grow & Improve

These next questions help us gather further insight for improving our support, strengthening our ability to secure grant funding, and reaching more families. Answer only what you’re comfortable with.
Are you willing to share your story/experience as a testimonial?
Would you be comfortable with us using any of your responses (such as quotes or reflections) to help others understand the impact of our events?

Help Us Extend Our Support to Others

These questions help us better understand who we’re reaching and supports our grant applications, so we can continue improving access to care and support for everyone in our community.

Answer only what you’re comfortable with.

How did you hear about this Missing Pieces Support Group event?
Gender
We know gender identity is diverse and these labels may not reflect everyone’s experience. Our database currently only supports the options below, though we recognize they are not fully inclusive.
Race/Ethnicity
Our programs are free thanks to grant funding from foundations that require us to share demographic information. By answering, you help us show the reach and impact of MPSG, which makes it possible to continue offering support at no cost. We’re grateful for your help.
To help us better understand who we’re reaching, feel free to share any other communities or experiences you identify with that are meaningful to you (e.g., cultural background, LGBTQ+, faith, veteran, health conditions, etc.)
What type of pregnancy loss have you experienced?
What is your connection to pregnancy loss?
(Select the option that best applies to you)