Contact details First name Surname Your date of birth Contact details Telephone number Email address Street and house number Postal code Commune Additional information In which hospital did you give birth? Is or was your child hospitalised in a NICU (neonatal intensive care unit)? Yes No Have you donated to our donor milk bank before? Yes No Do you have a freezer at home that can cool to -18°C or lower? Yes No Last edit: 15 april 2025