1. Was the cost of your consult reimbursed by your health insurance plan? *

Yes

No

2. Did Donna help you meet all of your breastfeeding goals? *

We couldn't have done it without her.

She was helpful.

We needed to seek additional help.

She was not at all helpful.

3. If Donna recommended additional treatment/procedures, did you receive it? *

Yes

No

Not Applicable

4. Are you still breastfeeding your baby? *

All options assume age-appropriate solid foods.

No, bottle feeding only.

Both, breast and bottle feeding.

Exclusively breastfeeding.

Only pumping.

6. How were you referred to Donna? *

LILCA Website

La Leche League

Internet Search

Facebook

Doctor's Office

Another LC

Lamaze

Other

7. Did Donna provide adequate follow up? *

Yes, the right amount.

Too much.

Not enough.

None.

10. Would you recommend Donna to a friend or colleague who needs help with breastfeeding? *

Yes

No

Not sure

12. Can I use your comments and responses for marketing purposes? *

Includes website, facebook, and other marketing channels.

Yes

No