Research Survey Parent Feedback on Tongue & Lip Tie Assessment & Treatment
Your feedback about assessment, diagnose and treatment for your baby's tongue tie will help us conduct a research study to understand the efficacy of treatment protocol. Will be grateful for your support and feedback.
Name of Parent: *
Your answer
Name of Baby/Child *
Your answer
Contact No *
Your answer
email id *
Your answer
Birth date of Child: *
MM
/
DD
/
YYYY
Age of your baby now?
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of Pradhan Dental Centre.