Positive about Breastfeeding Venue review - Page 1 of 3 - Somerset Council

1. What is the name of the venue you visited?

Venue name (Required)

2. Please give the venue location.

for example: town, village, postcode, address (Required)

3. Please give the date and time of your visit.

Date (Required)

Day (dd)
-

Month (mm)
-

Year (yyyy)

(Required) Morning Afternoon Evening

4. Is your feedback based on personal experience, on behalf of someone else, or were you a witness to someone else’s experience?

(Required) Personal experience On behalf of someone else Witnessed

5. Did you see a Positive about Breastfeeding sticker displayed at the venue?

(Required) Yes No Don't know

6. Was this venue chosen because it promotes Positive about Breastfeeding?

(Required) Yes No Unaware it was a Positive about Breastfeeding venue

7. On this visit what was your experience in relation to breastfeeding?

(Required) Positive Negative Neutral

Please explain the reasons for your rating

8. If you would like a member of the infant feeding team to contact you in relation to your feedback above, please leave your contact details below. We will be in touch shortly.

Please provide contact details below