“PROMOTION OF BREASTFEEDING PROGRAM RESPONDENTS

DEMOGRAPHIC PROFILE”

1. Name (Optional)
_______________________________

2. Age

53-57 48-52 43-47 38-42

33-37 28-32 23-27 18-22

18-22

3. Civil Status

Single Married Widow/Widower Separated

4. No. of Children

1-2 3-4 5-6 More than 6

5. Educational Attainment

Elementary Secondary College

Post-Graduate Vocational
 I. Level of Knowledge
5- Highly Knowledgeable
4- Knowledgeable
3- Little knowledge
2- Has an Idea
1- No Idea
5 4 3 2 1
A. Benefits for Children

1. Mother’s milk gives the perfect

amount of nutrition to children

2. Mother’s milk is easy to digest

than the artificial milk

3. Mother’s milk helps prevent

the incident of infection to infants
and stops the growth of organisms
such as bacteria and microbes that
might reside inside the infant’s
body

4. Breastfed babies has higher

I.Q. levels than those formula fed
babies

5. Breastfed babies has lower

chances of acquiring breast cancer

B. Benefits for Mother

1. Breastfeeding mother has lower

chances of acquiring breast and
ovarian cancer

2. Maternal and Child bonding is

stronger because of the hormones
secreted during pregnancy

3. Uterine contraction secretes

hormones that helps prevent
hemorrhage

4. Breastfeeding helps mother to

loose weight
5. Breastfeeding is also used as a
way of preventing pregnancy

C. Other Benefits

1. Breastfeeding does not need the

use of sterile bottle

2. Breastfeeding does not cost a

cent

3. Breast milk is always at the

right temp, and no need to mix
with

4.Breast milk provides readily

available food for baby

5. Breastfed babies are less often

sick than formula fed babies
because of the immunities and
anti bodies passed on to them
II. Problems encountered during breastfeeding

5- Frequent
4- Less Frequent
3- Seldom
2- Sometimes
1- Never
5 4 3 2 1
A. Babies Difficulties

1. Babies refused to Breastfed by the

mother

2. Babies do not get enough milk

B. Mothers Inconvenience

1. Breastfeeding causes discomfort for

mothers

2. The time and frequency of feeding

makes it difficult for working mothers

3. Mothers undergoing medication can’t

breastfeed due to its body effects that can
be transferred to the baby

4. Mother can follow the right method of

breastfeeding

5. The child isn’t breastfeed immediately

after it is delivered
 FERNANDEZ COLLEGE OF ARTS AND TECHNOLOGY
Gil Carlos st. Baliuag Bulacan

Mr. Felix Calanoc Jr.

Brgy. Captain
Sto. Cristo,Baliuag,Bulacan

Dear, Ms. Calanoc

We the student of Bachelor of Science in Nursing at Fernandez College of Arts

and Technology here in Baliuag,Bulacan is conducting a study on researching about the
“PROMOTION OF BREASTFEEDING PROGRAM OF THE D.O.H. IN SELECTED
BRGY. HEALTH CENTERS IN BALIUAG” this is to complete our subject in research
for our course

In addition, we are asking your full cooperation in answering our questionnaires

completely and honestly. We are also asking not to leave blank spaces on the answer
sheets

We will make sure of the confidentiality of all your answer and all of the data
gathered and we promise that this data will only be used in our research study.

Respectfully Yours,

Noticed by:

TERESITA D. IGNACIO, Ed.D

Dean of Graduate