home / Prenatal Breastfeeding Survey
Please fill in the oval that most closely describes how you feel about each statement.
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Site Lake ForestSan ClementeSan Juan Capistrano
Please answer with the response that most closely describes how you feel about each statement. 1. Breastfeeding is more convenient than formula feeding. AgreeNeitherDisagree 2. Breast milk is healthy for the baby. AgreeNeitherDisagree 3. Breast milk is more nutritious than infant formula. AgreeNeitherDisagree 4. Breastfeeding makes your breasts sag. AgreeNeitherDisagree 5. Breastfeeding makes you closer to your baby. AgreeNeitherDisagree 6. Breastfeeding makes returning to work more difficult. AgreeNeitherDisagree 7. Breastfeeding is more economical than formula feeding. AgreeNeitherDisagree 8. When you breastfeed you never know if the baby is getting enough milk. AgreeNeitherDisagree 9. Mothers who formula feed get more rest than breastfeeding mothers. AgreeNeitherDisagree 10. Breastfeeding is more time consuming than formula feeding. AgreeNeitherDisagree 11. Breastfeeding is messy. AgreeNeitherDisagree 12. Breastfeeding ties you down. AgreeNeitherDisagree 13. Breastfeeding helps you bond with your baby. AgreeNeitherDisagree 14. Breastfeeding is better than formula. AgreeNeitherDisagree For each of the following individuals, indicate how they think you should feed your infant. 15. The baby's father thinks I should: Feed FormulaNo OpinionFeed Breast Milk 16. My mother thinks I should: Feed FormulaNo OpinionFeed Breast Milk 17. My mother-in-law thinks I should: Feed FormulaNo OpinionFeed Breast Milk 18. My sister thinks I should: Feed FormulaNo OpinionFeed Breast Milk 19. My doctor thinks I should: Feed FormulaNo OpinionFeed Breast Milk Please indicate whether you agree or disagree with the following statements: Would YOU… 20. I have the necessary skills to breastfeed. AgreeNeitherDisagree 21. I am physically able to breastfeed. AgreeNeitherDisagree 22. I know how to breastfeed. AgreeNeitherDisagree 23. I am determined to breastfeed. AgreeNeitherDisagree 24. I won't need help to breastfeed. AgreeNeitherDisagree 25. Breastfeeding is easy. AgreeNeitherDisagree 26. I am confident I can breastfeed. AgreeNeitherDisagree