Workplace Breastfeeding Support Survey

Breastfeeding is the preferred method of feeding an infant and is considered as a gold standard for infant feeding. Breastfeeding helps babies, mothers and the community. Breastfed babies are healthier with less infections and digestive problems.

Employed breastfeeding mothers are less likely to miss work due to their baby's illness and are at a lower risk of getting breast and ovarian cancer. Women who are in the workforce face challenges in continuing breastfeeding upon returning to work after their maternity leave. Studies have shown that workplace breastfeeding support increases the duration of breastfeeding.

The intent of this survey is to assess workplace support for breastfeeding employees. Please take a few minutes and complete the survey. Thank you for your time.

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1. What is the name of your business/organization?

What is the name of your business/organization?

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2. How many employees do you have in your business/organization?

How many employees do you have in your business/organization? 0-50

51-100

101-250

251-500

>500

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3. Does your business have a written policy to support breastfeeding employees?

Does your business have a written policy to support breastfeeding employees? Yes

Unsure

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4. Does your business allow breaks for breastfeeding employees to pump?

Does your business allow breaks for breastfeeding employees to pump? Yes

Unsure

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5. Does your business allow employees to flex their work hours to accommodate breastfeeding or pumping?

Does your business allow employees to flex their work hours to accommodate breastfeeding or pumping? Yes

Unsure

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6. Does your business provide a private place to pump other than a bathroom?

Does your business provide a private place to pump other than a bathroom? Yes

Unsure

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7. Does your business have a sink in close proximity to the pumping area?

Does your business have a sink in close proximity to the pumping area? Yes

Unsure

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8. Does your business provide a pump in the pumping area for employee use?

Does your business provide a pump in the pumping area for employee use? Yes

Unsure

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9. Does your business provide breastfeeding information to employees?

Does your business provide breastfeeding information to employees? Yes

Unsure

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10. Does your health insurance plan provide coverage for:

	Yes	No	Unsure
Breastpumps	*Does your health insurance plan provide coverage for: Breastpumps Yes	Breastpumps No	Breastpumps Unsure
Pump kits	Pump kits Yes	Pump kits No	Pump kits Unsure
Breastfeeding services (Lactation consultant)	Breastfeeding services (Lactation consultant) Yes	Breastfeeding services (Lactation consultant) No	Breastfeeding services (Lactation consultant) Unsure

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11. Is your business aware of the amendment under section 4207 in the new healthcare law that requires employers to provide reasonable break time and a private, non-bathroom place for nursing mothers to express breast milk during the workday, for one year after the child’s birth?. The new requirements became effective when the Affordable Care Act was signed into law on March 23, 2010.

Is your business aware of the amendment under section 4207 in the new healthcare law that requires employers to provide reasonable break time and a private, non-bathroom place for nursing mothers to express breast milk during the workday, for one year after the child’s birth?. The new requirements became effective when the Affordable Care Act was signed into law on March 23, 2010. Yes

Unsure

12. How does your business support breastfeeding employees at this time?

How does your business support breastfeeding employees at this time?

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13. Would you like information on ways to support breastfeeding employees?

Would you like information on ways to support breastfeeding employees? Yes

14. If you answered yes to previous question, please give your contact information

If you answered yes to previous question, please give your contact information Name
E-mail
Telephone

Workplace Breastfeeding SupportExit this survey