Subject: | |
From: | |
Reply To: | |
Date: | Wed, 3 May 2000 12:23:43 PDT |
Content-Type: | text/plain |
Parts/Attachments: |
|
|
Wendey
Check archives too for some discussions on patient satisfaction and surveys.
Here is one we have used in past.
TELEPHONE SURVEY
Pt's name, age, Date delivered, Vag / C-section
Breastfeeding prenatal educational background:
e.g. LLL, class,reading material, videos, other
Breastfeeding history:
1st time, 2nd time, 3rd time or more
Did you receive any breastfeeding instruction in the hospital? Yes
No
Comments:
How long did you plan to breastfeed your infant?
_____________________________________________
How long did you breastfeed your infant?
___________________________________________________
Why did you stop?
Did you supplement with anything (H20 / formula) while breastfeeding?
Yes No
When was the supplementation started?
Reasons for supplementing?
Describe your breastfeeding experience using this scale: negative
>>>>>>>>>>>>>>>positive
1............2............3............4...........5
Would you breastfeed again? Yes No
Could you give us any suggestions to improve our breastfeeding program?
Laurie Wheeler, RN, MN, IBCLC
Violet Louisiana, s.e. USA
________________________________________________________________________
Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com
***********************************************
The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(TM)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html
|
|
|