D-Restricted Ltd:®
Satisfaction Survey

Your Opportunity to Feedback

You may choose to leave feedback on the service you have received, booking process, and your practitioner. By doing so, it will highlight any areas that may need improving/adjusting; to enable future client experiences to be at the optimum, both at a personal level, and as a speciality through research, and by finding out what is most important to you.

D-Restricted Ltd may also be able to use it as 'evidence' for my professional portfolios (NMC, IBCLC, CQC).

Feedback can be submitted by completing any (or all) of the following:

1). Google Service Reviews using the link in the footer of this website or by clicking on the google review image.

2). By completing a review to CQC (link: https://www.cqc.org.uk/give-feedback-on-care. Service provider: 'D-Restricted Ltd'),

3). By completing the survey below, &/or

4). If you are happy for me to share your feeding journey with a picture to my social media accounts and/or my website for new families to view, please just forward a few sentences or a short paragraph to me either by email or text I will collate it for you to review (diana@tongue-tie.info 07910608179). This is shared with you for your approval before it is published online.

(The links provided are also found within your written documentation given to you at your appointment).

📎 The Symptom Monitoring Progress Checklist is found below this survey too.

Thank You!

Satisfaction Survey

This form enables me to collaborate professional feedback that can be collated for my personal and professional portfolios, and is anonymous.

Thank you.

Of the following attributes; please tick the ones you feel your practitioner displayed (can choose multiple)

Was your chosen service WELL-LED?

For example, how was the referral process? My availability? My knowledge of the condition and its management? Were you given an informed research-based choice for the decisions you made?

Was your chosen service RESPONSIVE?

For example, did you receive follow-up communication / support and was it as you assumed it would be? (designated platform/text/Email/phone/support group). Did you feel included in your infants feeding plans? Were your concerns listened to and addressed? Did you feel respected and dignity maintained?

Was your chosen service EFFECTIVE?

For example, Was the written information you received useful and informative? Was it explained in a way that you could understand? Were you assisted in achieving your long-term feeding goals? What do you feel could be improved here?

Was your chosen service SAFE?

For example, were there any unexpected complications? Were they managed efficiently? How did you find the structure of the consultation? Did you feel safe? Was teh consent form explained to you in full? Was your baby handled with care and consideration?

Was your chosen service CARING?

For example, consider whether you felt supported, listened to, and treated with kindness during your interactions? Was Diana attentive, empathetic, and respectful towards you and your baby.

Venue Considerations:

What are your thoughts on the clinic venue itself? Location? Parking availability? Did you like the clinic room? How did you find the level of cleanliness?

If you used the website, how was your experience?:

Was the information found on my website useful? Clear? Fully functioning? Too much/ too little? How did you find the booking process and confirmation Emails? If you accessed te 'support portal' did it meet your expectations? Is there anything that you would like to see added? Was the 'patient intake form' clear and easy to complete? How did the text/font/colours appear on your computer/device browser?

When thinking about the aftercare you received . . .

Was it made clear to you what aftercare to expect from D-Restricted lTds before your consultation? Were you happy with the level and type of aftercare support you received? What do you think could be improved or implemented differently? Did you access the support portal of the website or attend the free-access support group?

Do you consider the service you received to be of good value for money / in line with other companies offering a similar service?

Excellent value - Much better than other services

Good value- Slightly better than other services

Average value - about the same cost -to- support ratio

Expensive

Overpriced/excessive

Please think about the overall quality of the service you received and whether it felt worth the cost. Consider how this service compares to other similar services you may have used, if applicable.

Your honest feedback will help me to understand whether I am providing good value for families.

Any other comments

Please add any additonal comments here inclusive of any suggestions to how I can improve the service you receive

If you would like to share a few words that I can publish on my website and social pages I would be grateful :)

If you are happy to share a photo for publication on my website; please do so here:

Link to google service review:

https://g.page/r/CUSN_twKkui6EBE/review

Link to CQC review:

https://www.cqc.org.uk/give-feedback-on-care

Thank you for taking the time to complete this questionnaire. Your feedback is incredibly valuable and helps me to understand how well my service is supporting you and your baby. It also provides important insight into how I can continue to improve and ensure the best possible experience for all families. I truly appreciate your time, honesty, and support; and please do reach out if you have any questions or concerns :)

Symptom Monitoring Progress Checklist:

You’re warmly invited to complete this optional, but important, symptom monitoring survey. Monitoring symptoms over time can help build a clearer picture of how your infant is functioning as they grow and develop. This form can be used to observe and track signs that may be associated with tongue-tie across areas such as feeding, airway, digestion, comfort, dentition, and growth. Recording these observations over time may help identify patterns, changes, or improvements and can support informed discussion and shared decision-making alongside your healthcare provider(s). This survey does not diagnose tongue-tie restriction; it is intended as a supportive tool for ongoing assessment. I will send this to you every 2 weeks so that you can monitor your progress in real-time and is anonymous. You will need your D-number to hand which is found on all of your documentation in your patient profile, but feel free to reach out to me if you can not source it.

📎 How to complete the survey:

• Section ONE: Overall tongue symptom monitoring (completed by all parents)

• Section TWO: Breastfeeding – complete only if your baby is breastfeeding

• Section THREE: Bottle feeding – complete only if your baby is bottle feeding

If you are combination feeding (milk), completing all three sections will provide the most useful overview.

⏰ The survey takes approximately 5–10 minutes to complete. Your participation is entirely voluntary, and your time and input are genuinely appreciated. If you have any questions or concerns at any point, please contact me directly via the messaging platform.

👉 https://forms.gle/4kt5bDo5iRjyMv458

D-Restricted Ltd ®