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. If a mother requested it, could you offer somewhere to breastfeed in private that is not a toilet or bathroom? 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 your staff confident in supporting a mum if someone criticises her feeding decision, or her 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. As part of the scheme we will send you an electronic image to display as a window sticker, poster or on your website/social media to let people know that you welcome breastfeeding in your premises and are a 'Breastfeeding Friendly Place'. Are you happy to agree to this? Yes No Please ask any questions here OK Question Title * 7. Please leave your contact details Company Name Address City/Town Postcode 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 THANK YOU, WE WILL BE IN TOUCH SOON