Lactation Program Assessment Form

Human Resources

Number of employed women of childbearing age (16-44)

Percent of female employees employed full-time

Number of male employees ages 16-44

Number of pregnancies among employees annually

Breastfeeding rates of employees (if known)

Current turnover rate among women who take maternity leave

Current rates of absenteeism among new mothers and fathers

Company Policies

What existing policies provide support services for breastfeeding employees?

What is the company’s maternity

leave policy?

Does the company provide FMLA or

Disability Insurance for maternity

leave?

What policies allow for a gradual

return to work following maternity leave?

Part-time employment

Job-sharing

Telecommuting

Flextime

Other

0 votes

Parent category: Business