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How long have you breastfed your baby?
 
Less than 1 month
 
1-3 months
 
3-6 months
 
6-9 months
 
9-12 months
 
12+ months
 
 
 
How long do you plan to breastfeed your baby?
 
Less than 3 months
 
3 months
 
6 months
 
9 months
 
12 months
 
12+ months
 
 
 
Do you breastfeed or pump at work?
 
Yes
 
No
 
Wish I could
 
 
 
If so, do you have the necessary supports (safe place to feed or pump, supportive coworkers/managers)?
 
Yes
 
No
 
Wish I had more
 
 
 
Have you helped or supported another breastfeeding mother?
 
Yes
 
No
 
 
 
Have you received breastfeeding support from a peer when needed?
 
Yes
 
No
 
 
 
Have you received breastfeeding support from your family members when needed?
 
Yes
 
No
 
 
 
Are you comfortable breastfeeding in public (like a park or restaurant)?
 
NO WAY
 
Yes, with cover-up
 
Yes, without a cover-up
 
 
 
How happy are you with how breastfeeding is going for you and your baby?
 
Very
 
Somewhat
 
Rarely
 
Never
 
 
 
Do you plan to breastfeed future children?
 
No
 
Yes - For up to 3 months
 
Yes - For up to 6 months
 
Yes - For up to 9 months
 
Yes - For up to 12 months
 
Yes - For 12+ months
 
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