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Edward Online Survey
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Breastfeeding Survey

In order to evaluate the breastfeeding services at Edward Hospital, we are conducting a survey of mothers who have recently breastfed. Your opinion is very important to us. We appreciate you taking the time to complete and return our survey.

We encourage you to complete this survey more than once as your baby grows older and you have more experience breastfeeding. All information is strictly confidential.

If you would like to discuss breastfeeding issues further, please call the Breastfeeding Center at (630) 527-3238. Thank you for participating in our survey.

* Indicates required information

Please provide the following information to help us best serve you.

First Name *
Last Name *
Email *
Street
Street2
City *
State *
Zip *
Home Phone
Year of Birth (yyyy) *
Instruction We encourage you to complete this survey more than once as your baby grows older and you have more experience breastfeeding. If you have completed this survey previously, we ask you to only complete question: 1 - 5, 11, 12 and 14 as well as the open-ended questions at the end. (A red asterik will appear by these questions.)
1. *
Have you completed this survey before?
     
2. *
Are you currently breastfeeding?
      
3. *
If you are currently breastfeeding, how old is your baby now?
4.
If you are no longer breastfeeding, how long did you breastfeed? (indicate how many weeks, months or years).
5. *
What was your original breastfeeding goal? (Please indicate how many days, weeks, months or years.)
6.
Where did you first breastfeed your baby?
              

If Other, please specify:
7.
Were you encouraged to hold your baby skin-to-skin with you? (check all that apply)
        

If Other, please specify:
8.
How satisfied were you with the amount of breastfeeding information you received here at Edward before your delivery?
           
9.
How satisfied were you with the amount of breastfeeding information you received here at Edward AFTER your delivery?
           
10.
How satisfied were you with the amount of breastfeeding information you received online at edward.org?
           
11. *
Were you seen in the Breastfeeding Center Outpatient Clinic? (If "No," you may skip to question 13)
      
12.
If you were seen in the outpatient clinic, how satisfied were you with the experience?
           
13.
How many children have you breastfed, including this baby?
              

If Other, please specify:
14. *
Many people have assisted you with breasteeding. Please select the individuals below who were "very helpful." (Check all that apply)
 
 
 
 
 
 
 
 
 
 
 

If Other, please specify:
15.
Was there an Edward employee who was especially helpful to you?
16.
What did you find most helpful with the breastfeeding assistance provided?
17.
How can we improve breastfeeding services at Edward?
 
 

(630) 527-3000

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Edward Hospital & Health Services
801 S. Washington, Naperville, IL 60540 • (630) 527-3000
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