1	Did you receive education regarding new born care during your antenatal visits?
	Yes
	No
2	Do you feel colostrum should be given to the baby?
	Agree
	Disagree
3	When did you initiate breast feeding your baby ?
	Within half an hour
	Between half to 1 h
	Between one to 2 h
	Beyond 2 h
4	What did you feed the baby ?
	Direct breast feed
	Formula feeds
	Water
	Honey
	Both breast feed and formula feed
	Any other
5	How long you intend to exclusive breastfeed ?
	3 months
	4 months
	5 months
	6 months
	> 6 months
	Do not know
7	Were you shown the technique of breastfeeding during antenatal visits ?
	Yes
	No
8	If answer to question 7 is yes, who showed the technique of breastfeeding ?
	Doctor
	Nurse
	Mother
	Family elders
	Health worker
9	Do you feel extra diet necessary during lactation ?
	Agree
	Disagree
10	How will you keep your baby warm (choose whichever is applicable)?
	Keeping in a warm room
	Wrapping with a cloth
	Covering the head with a cap
	Putting socks and gloves
	Any other
	Do not know
11	Handwashing is necessary before handling baby
	Agree
	Disagree
12	How frequently do you wash hands before handling the baby?
	Once a day
	Twice a day
	Thrice a day
	Every time
	Never
	Any other
13	What are the danger signs to say baby is not well?
	Poor suck
	Poor activity
	Jaundice
	Fever
	Hypothermia
	Breathing difficulty
	Convulsions
	Any other
	Do not know