Feedback

    How did you hear about me?
    RecommendationTongue Tie websiteHealth professional

    1. Were you seen in a timely manner?
    YesNo
    Additional Comments>

    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
    Additional Comments

    5. Did you feel valued and respected?
    YesNo
    Additional Comments

    6. Do you feel I cared for your baby in a professional manner?
    YesNo
    Additional Comments

    7. Were you happy with the care you received?
    YesNo
    Additional Comments

    8. Were you happy with the follow up contact?
    YesNo
    Additional Comments

    9.Would you recommend me to others?
    YesNo
    Additional Comments

    10. Please add any additional comments you would like to make