Prenatal Breastfeeding Survey

Please fill in the oval that most closely describes how you feel about each statement.


    Lake ForestSan ClementeSan Juan Capistrano


    AgreeNeitherDisagree

    AgreeNeitherDisagree

    AgreeNeitherDisagree

    AgreeNeitherDisagree

    AgreeNeitherDisagree

    AgreeNeitherDisagree

    AgreeNeitherDisagree

    AgreeNeitherDisagree

    AgreeNeitherDisagree

    AgreeNeitherDisagree

    AgreeNeitherDisagree

    AgreeNeitherDisagree

    AgreeNeitherDisagree

    AgreeNeitherDisagree


    Feed FormulaNo OpinionFeed Breast Milk

    Feed FormulaNo OpinionFeed Breast Milk

    Feed FormulaNo OpinionFeed Breast Milk

    Feed FormulaNo OpinionFeed Breast Milk

    Feed FormulaNo OpinionFeed Breast Milk


    AgreeNeitherDisagree

    AgreeNeitherDisagree

    AgreeNeitherDisagree

    AgreeNeitherDisagree

    AgreeNeitherDisagree

    AgreeNeitherDisagree

    AgreeNeitherDisagree

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