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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.

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

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