Feedback Survey: USBC Toolkit on TJC Core Measure

Help us to better meet your needs by taking a few moments to answer questions about the USBC Toolkit: "Implementing TJC Core Measure on Exclusive Breast Milk Feeding." Thank you for your feedback.

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1. In which region is your facility located? View the list of Regions

In which region is your facility located? View the list of Regions Northeast

Mid-Atlantic

Midwest

Mountain Plains

Southeast

Southwest

West

Tribal

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2. How would you describe your facility's location?

How would you describe your facility's location? Urban

Suburban

Rural

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3. How many births per year occur in your facility?

How many births per year occur in your facility? <500

501-1000

1001-2500

2501-5000

5001-7500

7501-10,000

>10,000

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4. How did you hear about the USBC Toolkit?

How did you hear about the USBC Toolkit? Colleague or friend (word of mouth)

Discussed at a meeting I attended

From USBC email announcement

Discovered on USBC website

Other

Other (please specify)

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5. Has your facility used the Toolkit?

Has your facility used the Toolkit? Yes

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6. Please assess:

	Excellent	Good	Fair	Poor	Very Poor	N/A
usefulness of the toolkit to your facility?	*Please assess: usefulness of the toolkit to your facility? Excellent	usefulness of the toolkit to your facility? Good	usefulness of the toolkit to your facility? Fair	usefulness of the toolkit to your facility? Poor	usefulness of the toolkit to your facility? Very Poor	usefulness of the toolkit to your facility? N/A
usefulness of the toolkit for you individually?	usefulness of the toolkit for you individually? Excellent	usefulness of the toolkit for you individually? Good	usefulness of the toolkit for you individually? Fair	usefulness of the toolkit for you individually? Poor	usefulness of the toolkit for you individually? Very Poor	usefulness of the toolkit for you individually? N/A

Comments

7. Is there anything you'd suggest that we add, remove or change about the Toolkit? We welcome all feedback and suggestions.

Is there anything you'd suggest that we add, remove or change about the Toolkit? We welcome all feedback and suggestions.

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Feedback Survey: USBC Toolkit on TJC Core Measure

*1. In which region is your facility located? View the list of Regions

*2. How would you describe your facility's location?

*3. How many births per year occur in your facility?

*4. How did you hear about the USBC Toolkit?

*5. Has your facility used the Toolkit?

*6. Please assess: