Thank you for taking the time to complete this short survey. Your responses will help improve breastfeeding education and support services for mothers in Bergen County. All answers are confidential and used only for program improvement. Focus on your last child when answering these questions.

Question Title

* 1. 1. For what period of time did you breastfeed your baby(s)? Check only one

Question Title

* 2. Did you receive breastfeeding (lactation) support after discharge home? Check only one

Question Title

* 3. If yes, who did you receive lactation support from? Check all that apply

Question Title

* 4. Were you satisfied and clear about the breastfeeding support you received after discharge? Check only one

Question Title

* 5. How confident were you about breastfeeding before discharge to go home? Check only one

Question Title

* 6. What were some of the challenges or setbacks you faced when trying to get lactation support after discharge home? Check all that apply

Question Title

* 7. What type of lactation information or support would have helped you to continue breastfeeding longer? Write your answer

Demographic Information

Question Title

* 8. What is your age range? Check only one

Question Title

* 9. What is your Ethnicity/Cultural Background? Check only one

Question Title

* 10. What is your employment status? Check only one

Question Title

* 11. Do you have insurance coverage? Check only one

Question Title

* 12. What primary language do you and your family speak at home? Check only one

T