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Beyond the Breast - Client Survey
We would love to hear your thoughts or feedback on how we can improve your experience or help other families.
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Your email
Our goal is to Educate, Empower & Support Families from Birth to Beyond the Breast
Were all of your Breastfeeding Concerns addressed?
Yes
No
Clear selection
If all concerns were not addressed, was a follow up appointment scheduled?
Yes
No
Not at this time
Clear selection
Do you feel phone calls/emails/texts were:
Just right
Too Much
Too Few
Clear selection
Would you like a follow up appointment?
Yes
No
Not at this time
Clear selection
Did you like having a folder with forms and handouts in one place?
*
Yes
No
IF you did not like the folder, how would you prefer to receive handouts and your care plan?
Loose handouts left at consult
Emailed
Clear selection
Do you feel Heather Martin, IBCLC/Beyond the Breast was able to offer education, support and to help empower you during your consult and throughout follow up care?
*
Your answer
Would you recommend our services to others?
Your answer
Suggestions for improvement
Your answer
May we add your review to our Social Media pages? Instagram, Google+, Facebook or Website?
Yes
No
Clear selection
Name
Your answer
Email
Your answer
Send me a copy of my responses.
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