General Information

Top of Page

Lactation Room Evaluation

1. How old was your child when you returned to work? Weeks

2. Did you return to work sooner because the Lactation Room was available? Yes No

3. Did the availability of the Lactation Room influence your decision to breastfeed? Yes No

characters remaining

4. How long did you plan to breastfeed when you first returned to work? Months Weeks

5. How long did you breastfeed? Months Weeks

6. Was the Lactation Room available when you needed it? Yes No

7. Did you have any problems using the Lactation Room? Yes No
If you had problems, please explain:

characters remaining

8. Do you have any suggestions to improve the Lactation Room?
characters remaining

9. Other Comments
characters remaining

10. Verification    (Not readable? Generate new image.)

captcha image

Submit Cancel