Richland Hospital Breastfeeding Survey
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1. Thank you for your response!

1. If you participated in the breastfeeding classes offered at Richland Hospital, please rate the following using a scale of 1-5, with 1 being strongly disagree and 5 being strongly agree. If you did not take breastfeeding classes, please rate statement a as a 5 and skip b-f.

	1	2	3	4	5
a. Did not take breastfeeding classes.	*If you participated in the breastfeeding classes offered at Richland Hospital, please rate the following using a scale of 1-5, with 1 being strongly disagree and 5 being strongly agree. If you did not take breastfeeding classes, please rate statement a as a 5 and skip b-f. a. Did not take breastfeeding classes. 1	a. Did not take breastfeeding classes. 2	a. Did not take breastfeeding classes. 3	a. Did not take breastfeeding classes. 4	a. Did not take breastfeeding classes. 5
b. The class was well-organized and informative.	b. The class was well-organized and informative. 1	b. The class was well-organized and informative. 2	b. The class was well-organized and informative. 3	b. The class was well-organized and informative. 4	b. The class was well-organized and informative. 5
c. The instructor was knowledgeable.	c. The instructor was knowledgeable. 1	c. The instructor was knowledgeable. 2	c. The instructor was knowledgeable. 3	c. The instructor was knowledgeable. 4	c. The instructor was knowledgeable. 5
d. My questions were answered to my satisfaction.	d. My questions were answered to my satisfaction. 1	d. My questions were answered to my satisfaction. 2	d. My questions were answered to my satisfaction. 3	d. My questions were answered to my satisfaction. 4	d. My questions were answered to my satisfaction. 5
e. The class provided me with information that helped me be more successful with breastfeeding.	e. The class provided me with information that helped me be more successful with breastfeeding. 1	e. The class provided me with information that helped me be more successful with breastfeeding. 2	e. The class provided me with information that helped me be more successful with breastfeeding. 3	e. The class provided me with information that helped me be more successful with breastfeeding. 4	e. The class provided me with information that helped me be more successful with breastfeeding. 5
f. I would recommend this class to all women interested in breastfeeding.	f. I would recommend this class to all women interested in breastfeeding. 1	f. I would recommend this class to all women interested in breastfeeding. 2	f. I would recommend this class to all women interested in breastfeeding. 3	f. I would recommend this class to all women interested in breastfeeding. 4	f. I would recommend this class to all women interested in breastfeeding. 5

Comments

2. If you breastfed your baby while a patient at Richland Hospital, please rate the following statements using a scale of 1-5 with 1 being strongly disagree and 5 being strongly agree. If you did not breastfeed your baby while in the hospital, please rate a as a 5 and skip b-f.

	1	2	3	4	5
a. I did not breastfeed my baby while a patient in the hospital following delivery.	*If you breastfed your baby while a patient at Richland Hospital, please rate the following statements using a scale of 1-5 with 1 being strongly disagree and 5 being strongly agree. If you did not breastfeed your baby while in the hospital, please rate a as a 5 and skip b-f. a. I did not breastfeed my baby while a patient in the hospital following delivery. 1	a. I did not breastfeed my baby while a patient in the hospital following delivery. 2	a. I did not breastfeed my baby while a patient in the hospital following delivery. 3	a. I did not breastfeed my baby while a patient in the hospital following delivery. 4	a. I did not breastfeed my baby while a patient in the hospital following delivery. 5
b. The nursing staff was consistent when teaching me about breastfeeding.	b. The nursing staff was consistent when teaching me about breastfeeding. 1	b. The nursing staff was consistent when teaching me about breastfeeding. 2	b. The nursing staff was consistent when teaching me about breastfeeding. 3	b. The nursing staff was consistent when teaching me about breastfeeding. 4	b. The nursing staff was consistent when teaching me about breastfeeding. 5
c. The nurses were knowledgeable about breastfeeding.	c. The nurses were knowledgeable about breastfeeding. 1	c. The nurses were knowledgeable about breastfeeding. 2	c. The nurses were knowledgeable about breastfeeding. 3	c. The nurses were knowledgeable about breastfeeding. 4	c. The nurses were knowledgeable about breastfeeding. 5
d. My questions were answered to my satisfaction.	d. My questions were answered to my satisfaction. 1	d. My questions were answered to my satisfaction. 2	d. My questions were answered to my satisfaction. 3	d. My questions were answered to my satisfaction. 4	d. My questions were answered to my satisfaction. 5
e. The nursing staff provided me with the help and support that enabled me to be more successful with breastfeeding.	e. The nursing staff provided me with the help and support that enabled me to be more successful with breastfeeding. 1	e. The nursing staff provided me with the help and support that enabled me to be more successful with breastfeeding. 2	e. The nursing staff provided me with the help and support that enabled me to be more successful with breastfeeding. 3	e. The nursing staff provided me with the help and support that enabled me to be more successful with breastfeeding. 4	e. The nursing staff provided me with the help and support that enabled me to be more successful with breastfeeding. 5
f. Overall, I was satisfied with my breastfeeding experience at the Richland Hospital.	f. Overall, I was satisfied with my breastfeeding experience at the Richland Hospital. 1	f. Overall, I was satisfied with my breastfeeding experience at the Richland Hospital. 2	f. Overall, I was satisfied with my breastfeeding experience at the Richland Hospital. 3	f. Overall, I was satisfied with my breastfeeding experience at the Richland Hospital. 4	f. Overall, I was satisfied with my breastfeeding experience at the Richland Hospital. 5

Comment

3. If you received breastfeeding support from a lactation consultant during the time you were a patient or after you went home from Richland Hospital, please rate the following statements using a scale of 1-5, with 1 being strongly disagree and 5 being strongly agree. If you did not seek support from a lactation consultant at either time, please rate statement a as a 5 and skip b-f.

	1	2	3	4	5
a. Did not seek support from a lactation consultant during hospital stay or following discharge.	*If you received breastfeeding support from a lactation consultant during the time you were a patient or after you went home from Richland Hospital, please rate the following statements using a scale of 1-5, with 1 being strongly disagree and 5 being strongly agree. If you did not seek support from a lactation consultant at either time, please rate statement a as a 5 and skip b-f. a. Did not seek support from a lactation consultant during hospital stay or following discharge. 1	a. Did not seek support from a lactation consultant during hospital stay or following discharge. 2	a. Did not seek support from a lactation consultant during hospital stay or following discharge. 3	a. Did not seek support from a lactation consultant during hospital stay or following discharge. 4	a. Did not seek support from a lactation consultant during hospital stay or following discharge. 5
b. The lactation consultant was knowledgeable about breastfeeding issues.	b. The lactation consultant was knowledgeable about breastfeeding issues. 1	b. The lactation consultant was knowledgeable about breastfeeding issues. 2	b. The lactation consultant was knowledgeable about breastfeeding issues. 3	b. The lactation consultant was knowledgeable about breastfeeding issues. 4	b. The lactation consultant was knowledgeable about breastfeeding issues. 5
c. I was provided with the additional support that I needed to be successful with breastfeeding.	c. I was provided with the additional support that I needed to be successful with breastfeeding. 1	c. I was provided with the additional support that I needed to be successful with breastfeeding. 2	c. I was provided with the additional support that I needed to be successful with breastfeeding. 3	c. I was provided with the additional support that I needed to be successful with breastfeeding. 4	c. I was provided with the additional support that I needed to be successful with breastfeeding. 5
d. I was treated with respect and my feelings were acknowledged.	d. I was treated with respect and my feelings were acknowledged. 1	d. I was treated with respect and my feelings were acknowledged. 2	d. I was treated with respect and my feelings were acknowledged. 3	d. I was treated with respect and my feelings were acknowledged. 4	d. I was treated with respect and my feelings were acknowledged. 5
e. My questions were answered to my satisfaction.	e. My questions were answered to my satisfaction. 1	e. My questions were answered to my satisfaction. 2	e. My questions were answered to my satisfaction. 3	e. My questions were answered to my satisfaction. 4	e. My questions were answered to my satisfaction. 5
f. I will contact a lactation consultant at the Richland Hospital for additional help should the need arise.	f. I will contact a lactation consultant at the Richland Hospital for additional help should the need arise. 1	f. I will contact a lactation consultant at the Richland Hospital for additional help should the need arise. 2	f. I will contact a lactation consultant at the Richland Hospital for additional help should the need arise. 3	f. I will contact a lactation consultant at the Richland Hospital for additional help should the need arise. 4	f. I will contact a lactation consultant at the Richland Hospital for additional help should the need arise. 5

Comment

4. Following delivery at Richland Hospital, my baby was in the room with me all of the time, with the exception of blood tests or other procedures.

Following delivery at Richland Hospital, my baby was in the room with me all of the time, with the exception of blood tests or other procedures. Yes	No
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