| Do you feel breastfeeding is going well so far? | Yes | No |
| Has your milk come in yet (i.e. Did your breasts get firm and full between the second & fifth postpartum day?) | Yes | No |
| Is your baby able to latch on to your breasts without difficulty? | Yes | No |
| Is your baby able to sustain rhythmic sucking for at least 10 minutes total per feeding? | Yes | No |
| Does your baby usually demand feed? (Answer no if you have a sleepy baby who needs to be awakened for feedings) | Yes | No |
| Does your baby usually nurse at both breasts at each feeding? | Yes | No |
| Does your baby nurse approximately every 2 - 3 hours, with no longer interval up to 5 hours at night (at least 8 nursings in 24 hours)? | Yes | No |
| Do your breasts feel full before feedings? | Yes | No |
| Do your breasts feel softer after feedings? | Yes | No |
| Are your nipples extremely sore (e.g., causing you to dread feedings)? | No | Yes |
| Is your baby having yellow bowel movements (resembling mustard curds)? | Yes | No |
| Is your baby having at least 4 good sized bowel movements each day (more than a stain on the diaper)? | Yes | No |
| Is your baby wetting his/her diaper at least six times each day? | Yes | No |
| Does your baby appear hunger after most feedings (e.g. sucking hands, crying often needing a pacifier)? | No | Yes |
| Do you hear rhythmic sucking & swallowing while your baby nurses? | Yes | No |