Quarterly Network Meeting Evaluation (September 2019)

Page1 / 2

50% of survey complete.

Question Title

First and Last Name

Question Title

Email
By providing your email, you agree to subscribe to notifications from MIBFN via email including newsletters and updates from Michigan Breastfeeding Network.

Question Title

What type of organization do you work for?

Hospital

Prenatal Clinic

Pediatric Clinic

State Health Department

Local Heath Department

WIC

Home Visitor

Community/Grassroots

Private Lactation Services

Other

Other (please specify)

Question Title

What is your primary function at your organization?

Physician/Medical Provider

Nurse

Breastfeeding Services

Administrator

Nutrition Services

Child Birth Support

Social Work

Physical Therapy

Occupational Therapy

Coalition Leadership

Other

Other (please specify)

Question Title

Race/Ethnic Identification

White or Caucasian

Black or African American

Hispanic or Latino

Asian or Asian American

American Indian or Alaska Native

Native Hawaiian or other Pacific Islander

Other

Do not wish to disclose

Question Title

Would you like to receive continuing education CERPs and/or a Certificate of Attendance for today's meeting?

Yes

Question Title

First and Last Name

Question Title

EmailBy providing your email, you agree to subscribe to notifications from MIBFN via email including newsletters and updates from Michigan Breastfeeding Network.

Question Title

What type of organization do you work for?

Question Title

What is your primary function at your organization?

Question Title

Race/Ethnic Identification

Question Title

Would you like to receive continuing education CERPs and/or a Certificate of Attendance for today's meeting?

Email
By providing your email, you agree to subscribe to notifications from MIBFN via email including newsletters and updates from Michigan Breastfeeding Network.