Workplace Lactation Room Satisfaction Survey
About this free form template

Support Nursing Employees with a Comprehensive Lactation Room Feedback Survey

Creating a supportive workplace environment for nursing parents is not just good practice—it's essential for employee wellbeing, retention, and compliance with workplace standards. This Workplace Lactation Room Satisfaction Survey template helps HR teams, facilities managers, and DEI leaders collect actionable feedback on lactation room facilities to ensure they meet the needs of nursing employees.

Why this survey matters

Many organizations provide lactation rooms but may not regularly assess whether these spaces truly serve their purpose. This survey template covers the key areas that matter most: privacy adequacy, cleanliness standards, equipment availability, scheduling ease, and overall accessibility. By gathering honest feedback, you can identify gaps, make improvements, and demonstrate your organization's commitment to supporting working parents.

Built for HR and facilities teams

Whether you're conducting your first lactation room assessment or running regular check-ins, this template makes it easy to collect structured feedback. The survey includes rating scales for quick quantitative analysis, open-ended questions for detailed insights, and conditional logic to capture relevant follow-up information. Responses flow directly into your dashboard where you can use AI Insights to identify common themes and priority areas for improvement.

With Paperform's professional survey design, you can customize the look and feel to match your internal communications style, embed the survey in your intranet or send it via email, and ensure responses are collected securely with SOC 2 Type II compliance built in.

Connect feedback to action with Stepper

Once you've collected survey responses, you can use Stepper to automatically route feedback based on satisfaction scores—flagging low ratings for immediate facilities review, creating tickets for equipment requests, or compiling monthly reports for leadership. This ensures feedback doesn't just sit in a spreadsheet but triggers real improvements to your lactation support program.

Trusted by organizations committed to inclusive workplace policies, this template helps you measure, improve, and maintain lactation facilities that truly support nursing employees throughout their journey.

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HIR.png
HKTB-logo.png
Kenyon.png
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adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
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