BreastfeedingSOS Survey

Your feedback is important to us! Thanks for taking the time to help make our Breastfeeding Support Website the best it can be!


Question 1.

How did you find out about the programme?


Other - Please specify


Question 2.

How helpful did you find the website?


Comments


Question 3.

Did the information on the website help you to breastfeed longer than you would have done otherwise?


Comments


Question 4.

Did you make contact with a Breastefeeding Peer Supporter?

Yes

No

Why/Why not?


Question 5.

Was your interaction with a Breastfeeding Peer Supporter useful?

Comments


Question 6.

Did you contact more than one Breastfeeding Peer Supporter?

Yes

No

Why/Why not?


Question 7.

Did your contact with a Breastfeeding Peer Supporter help you to breastfeed longer than you would have done otherwise?

Yes

No

Not Sure

Wanted to stop

Comments


Question 8.

Is there anything you would suggest to change or improve the service or website?


Question 9.

Other comments



Please tell us about yourself to help us further improve the programme: (optional)


What is your sex?

Female

Male

What age group do you belong to?

< 18 years of age

18-25 years of age

25-30 years of age

30-35 years of age

35-40 years of age

40-45 years of age

> 45 years of age

What ethnic group(s) do you belong to? mark all spaces that apply

New Zealand European

Māori

Samoan

Cook Island Māori

Tongan

Niuean

Chinese

Indian

Other - please specify

What is your highest level of education?

No post-school qualification

Level 1, 2, or 3 certificate

Level 4 certificatee

Level 5 diploma

Level 6 diploma

Bachelor degree and level 7 qualification

> Master’s degree

Doctorate degreee

If you would like to go in the draw to win a $50 book voucher drawn each month, please enter your email address below: (this will be kept confidential)

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Peer Supporters are not medical professionals, but are volunteers trained to provide information and support through common challenges to the normal course of breastfeeding.