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* 1. Do you feel you would benefit from having a breastfeeding support group where you are currently living?

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* 2. Are you currently breastfeeding or hoping to do so?

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* 3. What is the age of your baby/ child, or your expected due date if you are pregnant?

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* 4. Are you currently trained as a breastfeeding peer supporter or would you be interested in training as a volunteer peer supporter in order to offer support to other mums?

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* 5. Are you currently serving in the military or the partner/ spouse to someone who is serving?

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* 6. Which area are you currently living in?

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* 7. Would you be willing to commit to a regular support role?

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* 8. Please leave your name and email address below

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* 9. Do you have any other thoughts, feelings or comments?

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