NurtureLine 1300 622 243 (1300 MBABIES)
24hr family support helpline

Kangaroo-a-thon Survey

KANGAROO CARE AWARENESS

Title *

First Name *

Last Name *

Position *

Delivery Address 1 *

Delivery Address 2

Delivery Suburb *

Delivery State *

Delivery Postcode *

Delivery Country *

Phone Work

Mobile *

Email *

Hospital: *

Department or Ward name *

Did your hospital unit run the Kangaroo-a-thon from 15-29 May? *

Yes

If no, what dates did you run the Kangaroo-a-thon between?

Total number of babies cared for in NICU/SCN during Kangaroo-a-thon: *

Total number of babies who actively participated during Kangaroo-a-thon: *

Total Kangaroo-cuddle hours during your Kangaroo-a-thon: *

Did you print our posters and flyers for your Kangaroo-a-thon?

Yes

What barriers did you encounter during your Kangaroo-a-thon?

What improvements or changes have you noticed since being part of the Kangaroo-a-thon?

Do you have any comments or feedback about the Kangaroo-a-thon?

Confirmation Content