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Do you know the benefits of breastfeeding for mom?
 
1 or 2
 
3 or 4
 
5+
 
No
 
There are none for mom
 
 
 
Do you know the benefits of breastfeeding for babies?
 
1 to 2
 
3 to 4
 
5+
 
No
 
There are no benefits for baby
 
 
 
How important is a support network for breastfeeding mom?
 
Very
 
Somewhat
 
A little
 
Not at all
 
 
 
Do you feel supported by your family in your desire to breastfeed?
 
Yes
 
Somewhat
 
A little
 
Not at all
 
 
 
How long should a baby be breastfed?
 
Not at all
 
3 months
 
6 months
 
9 months
 
1 year
 
As long as it is mutually desired
 
 
 
Do you have friends who are also breastfeeding?
 
None
 
1-2
 
3-4
 
Many
 
 
 
Does your place of work support breastfeeding/pumping?
 
Yes
 
No
 
I don't know
 
Yes, but it could be better
 
 
 
Are you proud to breastfeed your baby?
 
Yes
 
No
 
Indifferent
 
 
 
Do you ever struggle with breastfeeding?
 
Often
 
Sometimes
 
Rarely
 
Never
 
 
 
Do you ever formula-feed?
 
Multiple times a day
 
Once a day
 
A few times a week
 
Once a week
 
A few times a month
 
Never
 
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