| WHEN
DID YOU: STOP PUMPING AT WORK?
STOP BREASTFEEDING? |
| WHO
SUGGESTED THAT YOU STOP
BREASTFEEDING |
| |
| PLEASE
RATE THE FOLLOWING: |
| WHAT IS
YOUR OVERALL RATING OF THE PROGRAM |
|
| HOW
WOULD YOU RATE YOUR LACTATION CONSULTANT |
|
| HOW
WOULD YOU RATE THE PRENATAL BREASTFEEDING CLASSES |
|
| HOW
WOULD YOU RECOMMEND THIS PROGRAM TO A COWORKER |
|
| I WOULD
USE THE PROGRAM IF I HAD ANOTHER BABY |
|
| |
|
| WHAT
DID YOU LIKE MOST ABOUT THE PROGRAM
|
| |
|
|
WHAT
WAS THE PROGRAM'S INFLUENCE ON YOUR RETURNING TO WORK |
|
IT
AFFECTED MY CHOICE OF TIME TO RETURN TO WORK |
|
|
IT
HELPED ME RETURN TO WORK EARLIER |
|
|
IT
AFFECTED MY DECISION TO RETURN TO WORK |
|
|
IT
ENABLED ME TO CONTINUE BREASTFEEDING WHILE AT WORK |
|
|
|
|
BREAST PUMP
USE WHILE IN THE PROGRAM |
|
WHAT PUMP DID YOU USE IN THE PROGRAM?
(BRAND/MODEL) |
|
|
DID YOU PURCHASE A BREAST PUMP THROUGH
THE PROGRAM? |
YES
NO |
|
IF NO - WHERE DID YOU PURCHASE |
|
|
IF NO - WHY DID YOU PURCHASE ELSEWHERE |
|
|
IF YOU PURCHASED AND USED THE PROGRAM
PUMP PLEASE ANSWER THE FOLLOWING: |
|
IT
WAS EASIER HAVING MY OWN PUMP TO TAKE HOME |
|
|
IT
WAS NOT AS POWERFUL AS A HOSPITAL GRADE PUMP |
|
|
IT
WAS EASY TO TRANSPORT/CARE FOR |
|
|
IT
WORKED WELL FOR MY NEEDS |
|
|
THE
PRICE WAS AFFORDABLE/REASONABLE |
|
|
|
|
HOW
IMPORTANT WERE THE FOLLOWING REASONS FOR YOUR DECISION TO STOP
BREASTFEEDING YOUR BABY? |
|
MY
BABY HAD DIFFICULTY NURSING |
|
|
BREASTMILK
ALONE DID NOT SATISFY MY BABY |
|
|
I
THOUGHT MY BABY WAS NOT GAINING ENOUGH WEIGHT |
|
|
A
HEALTH PROFESSIONAL (DOCTOR/NURSE/MIDWIFE) THOUGHT MY BABY
WAS NOT GAINING ENOUGH WEIGHT |
|
|
MY
BABY BECAME SICK AND COULD NOT BREASTFEED |
|
|
MY
BABY LOST INTEREST IN NURSING AND WEANED HIMSELF/HERSELF |
|
|
MY
BABY WAS OLD ENOUGH THAT THE DIFFERENCE BETWEEN BREASTFEEDING AND
FORMULA NO LONGER MATTERED |
|
|
MY
NIPPLES WERE SORE, CRACKED OR BLEEDING |
|
|
MY
BREASTS WERE OVERFULL |
|
|
MY
BREASTS BECAME INFECTED (MASTITIS) |
|
|
MY
BREASTS LEAKED TOO MUCH |
|
|
I
HAD TROUBLE GETTING MILK FLOW STARTED |
|
|
I
THOUGHT I WAS NOT PRODUCING ENOUGH MILK |
|
|
A
HEALTH PROFESSIONAL TOLD ME I WAS NOT PRODUCING ENOUGH MILK |
|
|
BREASTFEEDING
WAS TOO TIRING |
|
|
I
BECAME SICK AND COULD NOT BREASTFEED |
|
|
I
COULD NOT BREASTFEED DUE TO MEDICATIONS (DRUGS) |
|
|
I
WANTED TO BE ABLE TO LEAVE BABY FOR SEVERAL HOURS AT A TIME |
|
|
I
WANTED TO GO ON A WEIGHT LOSS DIET |
|
|
I
HAD TOO MANY HOUSEHOLD DUTIES |
|
|
I
DID NOT LIKE BREASTFEEDING |
|
|
I
WAS NOT PRESENT TO FEED BABY BECAUSE OF WORK |
|
|
I
WANTED OR NEEDED SOMEONE ELSE TO FEED MY BABY |
|
|
SOMEONE
ELSE WANTED TO FEED THE BABY |
|
|
THE
BABY'S FATHER WANTED ME TO STOP BREASTFEEDING |
|
|
BREASTFEEDING
NO LONGER SEEMED WORTH THE EFFORT IT REQUIRED |
|
|
I
WANTED MY BODY BACK TO MYSELF |
|
|
I
BECAME PREGNANT |
|
|
MY
JOB DID NOT ALLOW ME TO PUMP |
|
|
MY
SUPERVISOR DID NOT ALLOW ME TIME TO PUMP |
|
|
MY
SCHEDULE DID NOT ALLOW ME TIME TO PUMP |
|
|
MY
WORK, HOME, PUMPING SCHEDULE WAS TOO STRESSFUL |
|
|
THE
PUMP WAS NOT COMFORTABLE |
|
|
I
WAS NOT ABLE TO PUMP EASILY |
|
| |
|
|
PLEASE MAKE ANY
ADDITIONAL COMMENTS OR SUGGESTIONS |
|
|
