Approximate Number of Students within Your Program:
Your answer
After completing the survey, how can we thank you?
(Check all that apply)
⭐️ Breastfeeding-Friendly Environment
Does your facility directly promote or advertise infant formula to families?
Choose
Yes
No
Lactating Parents Are:
Choose
Rarely encouraged to come to the facility to nurse their babies.
Sometimes encouraged to come to the facility to nurse their babies.
Often encouraged to come to the facility to nurse their babies.
Always encouraged to come to the facility to nurse their babies.
A Designated Area for Lactating Parents:
(Check all that apply)
Culturally Appropriate Posters:
Choose
Not posted in our facility.
Are displayed only in the infant room.
Are displayed in one public part of the facility.
Are displayed in multiple locations in the facility.
Will be posted after Breastfeed Durham send us our free posters.
Does your facility have an explicit policy for promoting and supporting breastfeeding for families and staff?
(Check all that apply)
⭐️ Curriculum and Educational Support
To reduce maternal and infant mortality rates in our community, breastfeeding must be demonstrated as a normal way of feeding a baby. Statistics show that children aged 3 to 6 are making decisions on how they plan to feed their babies one day.
Does your educational institution provide access to materials that illustrate breastfeeding as the norm?
(Check all that apply)
⭐️ Support for Breastfeeding/Lactating Employees
Supporting lactating employees increases employee satisfaction, employee retention, and is required by law.
Support Breastfeeding Employees:
Are lactating employees provided with breaks to express milk or nurse their children?
Choose
Rarely or never.
Sometimes, if asked.
Usually.
Always.
A Designated Area for Employees to Nurse/Express Milk:
(Check all that apply)
How can we celebrate your support?
(Check all that apply)
Additional Comments or Additional Notes:
Your answer
⭐️ Thank You!
We appreciate your valuable time and insights in completing this survey. Your feedback is crucial in fostering a supportive breastfeeding environment in Durham. For more information or assistance, please reach out to us (919) 622-8787 or durham@breastfeedingcommunities.org.
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