Advocare Newborn Network Patient Survey 1. Hospital Stay and Infant Feeding Information Question Title * 1. Where did you deliver your baby? Lankenau Medical Center Bryn Mawr Hospital Paoli Hospital Question Title * 2. What is your age? 18 to 24 25 to 34 35 to 44 45 to 54 Other (please specify) Question Title * 3. How likely would you be to recommend your birthing hospital to friends and family? 1-Not at All 2-Maybe 3-Probably 4-Very Likely 5-Definitely 1-Not at All 2-Maybe 3-Probably 4-Very Likely 5-Definitely Question Title * 4. What type of delivery did you have? Cesarean Section Vaginal Delivery Question Title * 5. Did you have "skin to skin" time immediately after delivery? Yes No Question Title * 6. Which Newborn Network provider(s) did you see? Joshua Rabinowitz, DO Allison Horowitz, MD Susan Fisher, CRNP Jamie Tabb, CRNP Lisa Collinson, CRNP Kristen Atldoerffer, DNP, RN, CRNP, CPNP-PC Darnetta Yusko CRNP, IBCLC Jennifer Foster, CRNP Jill Schwartz, CRNP Other (please specify) Question Title * 7. Please indicate the demeanor of the provider during your visit. Attentive Concerned Friendly Distracted Rushed Inconsiderate Other (please specify) Question Title * 8. Were all of your questions answered by the Newborn Network pediatric provider? Yes No Other (please specify) Question Title * 9. Did you receive breastfeeding and lactation support and advice during pregnancy? Yes, from my obstetrician's office Yes, I attended a class at my doctor's office Yes, I attended a class in the community Yes, I attended a class at a local hospital Yes, from my pediatrician's office No Other (please specify) Question Title * 10. Did you decide to breastfeed your infant? Yes No Question Title * 11. Did you breastfeed your infant while in the delivery room? Yes No Not Applicable Question Title * 12. Did your baby have any supplemental formula feedings during the hospital stay? Yes No Question Title * 13. Did your baby use a pacifier during the hospital stay? Yes No Question Title * 14. Rate from 1-5 the level of breastfeeding support in the hospital from each of the following providers. 1-Not Supportive 2-Somewhat Supportive 3-Supportive 4-Very Supportive 5-Extremely Supportive N/A Obstetrician Obstetrician 1-Not Supportive Obstetrician 2-Somewhat Supportive Obstetrician 3-Supportive Obstetrician 4-Very Supportive Obstetrician 5-Extremely Supportive Obstetrician N/A Nursing Staff Nursing Staff 1-Not Supportive Nursing Staff 2-Somewhat Supportive Nursing Staff 3-Supportive Nursing Staff 4-Very Supportive Nursing Staff 5-Extremely Supportive Nursing Staff N/A Lactation Consultant Lactation Consultant 1-Not Supportive Lactation Consultant 2-Somewhat Supportive Lactation Consultant 3-Supportive Lactation Consultant 4-Very Supportive Lactation Consultant 5-Extremely Supportive Lactation Consultant N/A Advocare Newborn Network Pediatric Provider Advocare Newborn Network Pediatric Provider 1-Not Supportive Advocare Newborn Network Pediatric Provider 2-Somewhat Supportive Advocare Newborn Network Pediatric Provider 3-Supportive Advocare Newborn Network Pediatric Provider 4-Very Supportive Advocare Newborn Network Pediatric Provider 5-Extremely Supportive Advocare Newborn Network Pediatric Provider N/A Question Title * 15. Were you breastfeeding at time of discharge from the hospital? Yes No Not Applicable Question Title * 16. Please describe the best part of your in-patient stay related to feeding your infant. Question Title * 17. Briefly describe your in-patient hospital experience Question Title * 18. Was the information booklet provided by Advocare Newborn Network beneficial? Yes No I did not receive one Other (please specify) Page1 / 1 100% of survey complete. Done
