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SURVEYS
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Survey: Does My Baby Have Tongue-Tie?
Complete the survey below by answering each question with a score ranging from 1 to 5. A score of
1 meaning you strongly disagree
and a score of
5 meaning you strongly agree
.
*
Indicates required field
Nursing my baby is painful.
*
1 - Strongly Disagree
2
3
4
5 - Strongly Agree
Comments
*
Nursing my baby is frustrating:
*
1 - Strongly Disagree
2
3
4
5 - Strongly Agree
Comments
*
My nipples have cracked or bled after nursing:
*
1 - Strongly Disagree
2
3
4
5 - Strongly Agree
Comments
*
My nipples are pinched after nursing:
*
1 - Strongly Disagree
2
3
4
5 - Strongly Agree
Comments
*
I have cried because of my nursing problems:
*
1 - Strongly Disagree
2
3
4
5 - Strongly Agree
Comments
*
My milk supply has gone down:
*
1 - Strongly Disagree
2
3
4
5 - Strongly Agree
Comments
*
My baby feeds for long periods of time:
*
1 - Strongly Disagree
2
3
4
5 - Strongly Agree
Comments
*
My baby falls asleep at the breast:
*
1 - Strongly Disagree
2
3
4
5 - Strongly Agree
Comments
*
My baby has lots of gas.
*
1 - Strongly Disagree
2
3
4
5 - Strongly Agree
Comments
*
My baby makes clicking sounds while nursing.
*
1 - Strongly Disagree
2
3
4
5 - Strongly Agree
Comments
*
General Comments
*
Submit
FOR PARENTS / PATIENTS
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