Debbie,
How about setting up your questionaire based on the 10 steps for successful
breastfeeding?  One of the questions could read....'were you informed of
the benefits of breastfeeding? Prior to NICU/During NICU/Not at all...", or
 "Were you informed of how to maintain lactation in babies absence?"

Unicef Baby Friendly also has a self questionaire that asks the questions
about your department/hospital that maybe can help you set direction for
what to improve also.

While questioning the mother's feelings/perceptions of their care is
helpful information, unless you have a specific plan/goal of where you want
to be your questions may not get you the precise info you need.  They may
only be 'fluff' stuff, warm fuzzy kinda stuff.

Hope this helps.
lucy

----------
> From: Debby Menders RNC <[log in to unmask]>
> To:
> Subject: Breastfeeding Questionnaire For NICU Mothers
> Date: Tuesday, November 11, 1997 11:07 PM
>
> I am a RNC in a level 3 NICU and also Chairperson for our Breastfeeding
> Support Committee.   We are trying very hard to improve our breastfeeding
> support and success for our Moms and babies.  I  read each lactnet post
and
> hope to gain more knowledge and insight on ways to improve our
breastfeeding
> rates and success.  I  am composing a questionnaire for our NICU Moms
that
> will address what kind of support they received for breastfeeding, what
was
> helpful, what was not helpful, major road blocks, etc.  This
questionnaire
> will be given to every Mom....breastfeeding and non-breastfeeding,
initially
> asking them why they choose their feeding method.  The questionnaire will
be
> given to the Moms at 1 month after discharge in our Neonatal Followup
clinic,
> if anyone has any suggestions or ideas ...I am open to all
recomendations.  I
> hope this may point out areas to target for improvement, I already know
alot
> of our weaknesses but thought maybe there are some areas I am not aware
of.
>  Thanks for your help!!
> Debby Menders RNC
> NICU
> Women and Children's Hospital
> Charleston, WV
> Email:  [log in to unmask]
>