Exit this survey Lactation Room Needs This survey is intended for mothers with infants ages 0-12 months, and expectant mothers who work or plan to resume working within the first 12 months after giving birth. If you are currently breastfeeding or plan to breastfeed, please complete this survey. Question Title * 1. What is your occupation? Question Title * 2. Please list your city and state. Question Title * 3. What do you consider to be barriers to breast-feeding? Busy schedule Need to return to work Multiple infants Older siblings Discouragement from others Other (please specify) Question Title * 4. What is your age? Under 20 20-25 26-30 31-35 35 and above Question Title * 5. What is the age of your breast-feeding infant? 0-3 months 4-6 months 7-9 months 10-12 months older than 12 months Question Title * 6. How would you describe your current lactation accommodations? (select all that apply) Unused office Designated lactation room Includes a sink Includes a refrigerator Storage space Cubicle space No accommodations currently provided Other (please specify) Question Title * 7. How would you describe the provisions provided by your employer? (select all that apply) Break time Lactation space Lactation support Breast pump on site Other (please specify) Question Title * 8. Which of the following items would you like to see in your lactation room? (select all that apply) Sink Refrigerator Breast pump Recliner Rolling desk chair (task chair) Table Artwork TV Radio Lockers Cleaning supplies Other (please specify) Question Title * 9. Please provide any additional comments regarding lactation room options. Done