How did you hear about me?
    RecommendationTongue Tie websiteHealth professional

    1. Were you seen in a timely manner?
    YesNo
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    2. Did you see me for breastfeeding support or tongue tie division?
    Breastfeeding supportTongue tie division

    3. If you attended one of my clinics did it meet your expectations?
    YesNo
    Additional comments - please state which clinic you attended

    4. Do you feel you were given adequate information to make a fully informed choice on treatment options?
    YesNo
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    5. Did you feel valued and respected?
    YesNo
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    6. Do you feel I cared for your baby in a professional manner?
    YesNo
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    7. Were you happy with the care you received?
    YesNo
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    8. Were you happy with the follow up contact?
    YesNo
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    9.Would you recommend me to others?
    YesNo
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    10. Please add any additional comments you would like to make