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Surveys
2015
November
B
Breastfeeding Knowledge
Breastfeeding Knowledge
0%
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Age
Less than 30
31-40
41-50
51-60
More than 60
Sex
Female
Male
Role
Physician
Registered Nurse
Pharmacist
Physician Assistant
Nurse Practitioner
Certified Nurse Midwife (CNM)
Resident
Medical Student
Other
Specialty
Anesthesiology
Allergy
Dermatology
Emergency Medicine
Family Medicine
Gastroenterology
Internal Medicine, Generalist
Internal Medicine, Specialist
Medical Student
Med-Peds
Neurology
OB
Pathology
Pediatrics, Generalist
Pediatrics, Specialist
PM&R (Physical Medicine and Rehabilitation)
Psychiatry
Radiology
Surgery, generalist
Surgery, specialist
Other
Years in practice
< 5 years
6-15 years
16-25 years
More than 25 years
Not applicable
What percentage of your patients are mothers of children less than 1 year of age?
None
Up to 25%
25-50%
50-75%
75-100%
How often do you conduct surveys?
Weekly
Monthly
Quarterly
Annually
What percentage of your patients are children 0-1 year?
None
Up to 25%
25-50%
50-75%
75-100%
How many children have you/your partner given birth to, if any?
If you do not have children, please skip to question 12
Were your children breastfed?
Yes
No
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