Peer Support Capture Form

 

We would love to find out how you are passing on the Breastfeeding messages and information you received in training and would really appreciate you taking a few minutes to share your thoughts with us. 

1. Name *

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2. Email address *

 

3. Which peer support or champions training does this relate to?  *

 

4. Before attending training, how confident did you feel to share messages and information about breastfeeding to families and communities? *

 

5. How confident do you now feel to share the messages and information you received in training to families and communities? *

 

6. Before attending the training, how knowledgeable did you feel about key messages relating to breastfeeding? *

 

7. Since attending the training or workshop, how knowledgeable do you feel about key messages relating to your area? *

 

8. Approximately how many families have you spoken to about a key message related to your area of training in the last 3 months? *

 

9. Which (if any) videos have you shared with families in the last 3 months?

 

10. In the past 3 months, which of the following have you connected families to in Torbay? (tick any relevant boxes) *

 

11. Use this space for any comments you'd like to make, for example, let us know if you have experienced any barriers to passing on messages to families, or tell us how we can improve the Peer Support or Champion experience.

 

12. Use this space to fill in the details you know about family activities happening in your community that would be great to share with other Peer Supporters or Champions.

 

Thank you for sharing your feedback with the Torbay Family Hub team. We really appreciate you taking time to complete it. 

13. Please select one of the options below. *

YesNo
I agree that the information I have given can be used to show the impact of our Peer Supporters or Champions with funders.
I agree that only collated and none identifiable information can be shared.