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Dr. Brown’s™ Specialty Feeding System Survey for Parents/Caregivers
1.
What is your role in the care of a child using a Dr. Brown's Specialty Feeding System?
Parent
Grandparent
Foster Parent
Home Health Caregiver
Medical Professional
Other (please specify)
2.
Country of use:
USA
Canada
England
Ireland
Wales
Scotland
Australia
New Zealand
Other (please specify)
3.
Where did you first hear about the Dr. Brown’s Specialty Feeding System?
Cleft Palate Clinic Staff
Prenatal visit
Internet
Friend
Parent forum or Blog
Health care provider
SLP
OT
PT
Plastic Surgeon
Nurse
Lactation Consultant
Doula
Other (please specify)
*
4.
For what condition is your child using the Dr. Brown’s Specialty Feeding System? (Check all that apply.)
(Required.)
Cleft Lip
Cleft Palate
One side complete cleft lip and palate
Bilateral complete cleft lip and palate
Cleft of the Soft Palate
Small or recessed jaw
Downs Syndrome
Poor sucking skills
Heart problems
Tongue Tie
Poor weight gain
Other (please specify)
5.
Did you trial another feeding system prior to using the Dr. Brown’s Specialty Feeding System?
Yes
No
6.
If Yes to question 5, what type of feeding system did you try prior to Dr. Brown’s Specialty Feeding System? (check all that apply)
Medela Special Needs Feeder
Pigeon Bottle
Mead Johnson Cleft Palate Nurser
MAM
Pliable bottle
Other (please specify)
7.
Where did you first obtain your Dr. Brown’s Specialty Feeding System?
Cleft palate clinic
Hospital
Prenatal visit
Retail on line
Other (please specify)
8.
At what age did your child start using the Dr. Brown’s Specialty Feeding System?
At birth
1 – 3 mos of age
4 – 6 mos of age
7 – 12 mos of age
Other Age (please specify)
9.
What do you most appreciate about Dr. Brown’s Specialty Feeding System? (Check all that apply)
Child can regulate feeding/flow on their own
Child adjusted to feeding with ease
Child seems satisfied while feeding
Child seems satisfied after meal
Bottle is easy to use
Purchasing options were easy
Appearance – Looks like a regular bottle system
Cost compared to other options is better
Ability to change nipple flow rates.
Did not appreciate the bottle and switched to another
Other (please specify)
10.
If you prefer another feeding method other than Dr. Brown’s Specialty Feeding System, please indicate your reason/s. (Check all that apply)
Learned to use another method and did not want to change
Preferred longer nipple
Cost too much
Flow rate is too slow or fast for child
Physician supported another
Easier method for feeding
Easier to purchase
Easier to clean
Other (please specify)
11.
With the use of Dr. Brown's™ Specialty Feeding System have you noticed any of the following?
Improved weight gain
Decreased weight gain
No significant change in weight gain
Other (please specify)
12.
If you have used the Dr. Brown's PreVent pacifier with a child that has cleft lip/palate, can you please tell us about your experience?
13.
Is there any other pertinent information you would like to share about feeding your infant using Dr. Brown’s Specialty Feeding System? Please comment below.
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