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Expecting Mom Survey

Expecting a baby? We NEED your help!
The Finger Lakes Breastfeeding Partnership is working together with the Pivital Public Health Partnership to ensure that all moms in the Finger Lakes Region have access to help with breastfeeding. Breastfeeding helps to promote healthy children and mothers. 
If you are expecting a baby, please take our 3 minute survey.
Thank you!! 

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* 1. Are you expecting a baby?

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* 2. What trimester are you currently in?

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* 3. What baby number is this for you?

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* 4. Have you breastfed/nursed before? (Any breastmilk counts!)

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* 5. How long did you breastfeed?

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* 6. Why did you choose to breastfeed? (Choose all that apply)

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* 7. Reason(s) for not breastfeeding  (Check all that apply):

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* 8. What are the reason(s) you stopped breastfeeding in the past  (Check all that apply):

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* 9. How knowledgeable do you feel about breastfeeding?

I have no idea how to breastfeed I have a lot of knowledge about breastfeeding
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 10. How confident do you feel about breastfeeding?

I do not feel confident about breastfeeding I feel confident about breastfeeding
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 11. Who will support you with breastfeeding? (check all)

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* 12. Where do you go for reliable breastfeeding information? (check all that apply)

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* 13. What would be most helpful in meeting your breastfeeding goals? (check all)

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* 14. How comfortable are you with home breastfeeding education visits?

Not comfortable at all Very comfortable with home visits
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 15. How can we provide you with breastfeeding education?

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* 16. Is there a doctor's office or a healthcare provider that was extremely knowledgeable and helpful with breastfeeding 

0 of 16 answered
 

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