Questionaire.doc Breast Feed In

Breastfeeding in public Questionnaire Gender Age Postcode Please tick or circle your answers. 1. Do you breast feed? Yes No 2. If no, was your decision influenced by; Pain Did not want to It’s disgusting Other 3. Do you know anyone that has Breast fed? Yes No 4. Have you ever Breast fed? Yes No 5. Did you or do you know anyone that was not able to Breast feed? Yes No If yes please can you state your reasons ………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ……………………………………………… 6. Do you think that teenage mums should Breast feed? Yes No Other……………………………………………………………………………………

7. What do you think of Breast feeding in public? • • • • •

Appropriate Nice to see They should Breast feed else where Time and place Other……………………………………………………………………………

8. Would you ever ask someone to move if they are Breast feeding? • • • •

Sometimes Always Depends on the situation Never

9. Have you seen or been told to Breast feed else where? Yes No 10. What would you prefer to give your child? • • • •

Breast milk Formula Goats milk Other……………………………………………………………………………

11. Do you think there is enough information about Breastfeeding available to expectant mothers? • • •

Yes No Maybe Thank you for your time and participation in this questionnaire.