Some people have asked me if it is too late to turn in the survey - NO!
 Please do so for the next several weeks.  Please put your name in the
subject line so that I can save easily.  Please answer the questions on the
form - all of them - since I am trying to compile this data.  Incomplete
answers or an essay form of answer cannot be considered, since it would take
way to long for me to fill in the blanks.

Thanks!

A reposting for those who asked:

Dear LACTNETTER,

I am interested in compiling some statistics with regard to breastfeeding
among lactation consultants, LLL leaders and breastfeeding advocates (you
all).  Share this form with anyone you deem appropriate.

Please fill out the following form and e-mail it to : [log in to unmask] (not to
the list!!)
**Please put your name in the subject line** so that I can save easily and
get back to you if I need additional info.  Copy this form for as many
children as you have!  I will post results to this list.

Thanks!
Sharon Terry

Your name:
Your position: LC, LLL leader, breastfeeding mom, MD, PhD,...
First born child-
Sex:
DOB:
Place of Birth (hospital, home...):
Was the birth medicated?
When was baby put to breast?
If hospital, did you receive a gift pack of artificial baby milk?
Age (months) of first solids:
Age (months) of complete weaning from breast:
Reason for weaning:
Problems you had breastfeeding:
Cummulative number of months you tandemed nursed:
Cummulative number of months you breastfed while pregnant:

Artificial baby milk:
a) Did you EVER use any artificial baby milk (ABM)?  Yes   No
        If yes, age of baby at first such feeding by you:
        After this date, how often did baby receive such feedings?
        ___ Less than once a week,
        ___ once a week
        ___ 2-3/week
        ___ 4-5/week
        ___ 6-7/week
        ___ More than once a day; how many feeds? _____

b) If weaned off breast to ABM, age of baby when weaned completely to ABM:

c) When ABM stopped, what was baby given to replace those feeds?

If you did, why did you use ABM?

Age of mother at time of first pregnancy:
Age of mother at time of each baby's birth:
Any lost or terminated pregnancies:

Parity of mother at weaning of youngest child:
State/province where you live NOW:
Country where you live NOW:
Country where you lived at time of children's birth:
State/province where you lived at time of each child's birth:

Occupation of primary breadwinner during your children's first 5 years of
life:

IF YOU CHANGED ANYTHING ABOUT BREASTFEEDING if you had more than one child,
WHAT you changed and WHY?

Describe your support for or against breastfeeding:


Anything you feel I missed: