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CoH Safe Sleep Quiz
1.
Client Name
2.
Agency who gave you the crib
3.
How clearly did your instructor explain the goals of this training?
Very clearly
Somewhat clearly
Not so clearly
Not at all clearly
4.
Fill in the blank: The ABC's of safe sleep teaches us that baby should be __________ in the crib!
placed on a pillow
alone
with another baby
5.
Fill in the blank: The ABC's of safe sleep teaches us that baby should always be put to sleep on his/her __________.
tummy
side
back
6.
Fill in the blank: The ABC's of safe sleep teaches us that baby should only sleep in a safety approved __________ or bassinet.
crib
baby swing
couch
7.
Do you feel prepared to talk to others, who are caring for your baby, about the ABC's of safe sleep?
Very confident
Somewhat confident
Not so confident
8.
How often will you place your baby on his/her back when he/she sleeps?
All the time
Sometimes
Not at all
9.
Fill in the blank: A SleepSack is a safe alternative to a _____________.
baby swing
car seat
blanket
10.
When using a SleepSack I must...
always put a blanket on top of my baby to make sure he/she is warm.
make sure baby is swaddled but when baby can roll over I need to make sure baby's arms stick out.
attach baby's pacifier to it using a string.
11.
The risk of SIDS can be
lowered
AND Accidental Suffocation & Strangulation in Bed can be
prevented
if you practice the following: (select all that apply)
The ABC's of Safe Sleep
Tummy Time
Breastfeeding
Using a Pacifier
No Smoking
No Overheating
Room Sharing
NOT
Bed Sharing
All of the above
12.
I feel confident in setting up and taking down my baby's portable crib because I'll remember:
Pop, Lock, and Drop
Pop goes the weasel
Stop, Drop, and Roll
My own method
I don't know
13.
Information was presented in a manner that was easy to understand and remember?
All
Some
None
14.
Did your instructor present materials and information too fast, too slow, or just right?
Too fast
Too slow
Just right
15.
Why were you taking this training? (select all that apply)
I needed a portable crib and this was a requirement.
I was supporting my spouse, friend, daughter, significant other, etc.
I wanted to learn more about safe sleep education.
This training was offered to my community group (school, church, girl/boy scouts, "MOPS", child care program etc.)
I will be providing safe sleep training/education to my clients.
16.
On a scale of 0 to 10,
How likely is it that you would recommend this training to others?
0 for Not at all likely, 10 for Extremely likely
Not at all likely
Extremely likely
0
1
2
3
4
5
6
7
8
9
10
17.
What did you like best about this training? Any ideas for how this training could be improved?
