Breastfeeding Friendly Places Question Title * 1. Is breastfeeding welcome anywhere within your organisation? Yes No OK Question Title * 2. Does your organisation have a breastfeeding/infant feeding policy in place? Yes No Other (please specify) OK Question Title * 3. Would you be able to offer a breastfeeding Mother somewhere to breastfeed in private if she requested? (This should NOT be in a toilet) Yes (please give short detail of area available below) No (your comments would be welcomed in the box below) Comments OK Question Title * 4. Are members of your organisation empowered to speak up in support of a mum if someone criticises her feeding decision, or feeding in public? Yes No OK Question Title * 5. Are you happy for your organisation's details to be included in an online resource informing people that your facility is breastfeeding friendly? Yes No OK Question Title * 6. Would you be willing to display a sticker in the window or posters on the wall that advises people that you welcome breastfeeding in your premises and are a 'Breastfeeding Friendly Place'? Yes No OK Question Title * 7. Please leave your contact details Name Company Address Address 2 City/Town County Postcode Country Email Address Phone Number OK Question Title * 8. Please give details of your business type/establishment OK Question Title * 9. Do you have any other comments or information to include? OK DONE
