Synagogue Breastfeeding Friendliness Questionaire
These questions will help share information about the experience of breastfeeding mothers in synagogues and minyanim around the world with others, to help new mothers and visiting parents prepare best for a new synagogue.  

The information will be shared at http://www.nursingatshul.wordpress.com  It will not have any name associated with it (I won't even know who filled out the questionnaire), and generally I will paraphrase the information that you give me.  I do sometimes share quotes- if you would rather that I not do so, please let me know in the very last ("anything we missed") space at the end of the questionnaire.  If/when I receive more than one questionnaire about a particular synagogue, I will share any conflicting or differing positions on the website.  

This questionnaire was prompted by my own experiences, and is not associated with any organization.  I may use the information collected, in aggregate, to inform me and eventually the leadership of synagogues about what practices are common, appreciated, hurtful, etc.  

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Background
Name of Congregation: (If Congregation has no name, please give an identifying location, e.g. nearest intersection)
Location: (city, state, country)
Breastfeeding in the Sanctuary/Prayer Space:
Is it permitted?
Clear selection
How do you know? (Is there written policy?  Unwritten policy? Are there limitations (e.g. a nursing cover is required?)?)
Is it welcomed? Do you feel comfortable doing so?
Nursing Locations:
Is there a space for private breastfeeding?
Clear selection
What is it? (“nursing room” or other location)
Clear selection
What is the space called?
Clear selection
Where is it?  (e.g. basement, near bathrooms, man floor, near sanctuary, etc)
How do you know to find it (is it labeled?  If not, who do you ask?  How do you know who that person is?)
Is it open and accessible? (lights on on Shabbat, unlocked? accessible to a disabled parent?) If not, how do you gain access?
Clear selection
Other Nursing Room Information (number of chairs, other amenities, quirks, etc)
Other Breastfeeding Experiences:
Is there information/signage easily visible about breastfeeding policies?
What are attitudes about breastfeeding like in the community?  How has it felt? How do you know?  Does the use of a nursing cover impact attitudes?  
What have your experiences breastfeeding in other places in the synagogue/during community events or programs been?
General Child Friendliness:
Where are there changing tables?
Is there stroller parking?  (A place where people can usually leave strollers)
Clear selection
What are attitudes toward bottle-feeding?
Are there facilities to store items needed for a child (e.g. diaper bag, toys, bottles)?
Clear selection
If there is stroller parking or storage space, where is it?
What are the attitudes toward children in the main service? (consider: their presence, their noise, their toys/stuff, their mobility/locations)
Contacts
Contact information for the clergy/leadership:
Synagogue website:
Wrap Up
How would you assess breastfeeding in this synagogue?
Clear selection
What else do you want to say?  What did we not ask?  What elaboration is needed to understand this community and the provisions for breastfeeding there?
Submit
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