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Questionnaire

If you would like to order our professional educational materials, please complete the questions below.

1. Contact Details 2. Which of the following best describes
your role?
Name
Job Title
Place of Work?
Work Address
Postcode
E-mail Address
Phone number
Student Midwife
Community Midwife
Hospital Midwife
Student Health Visitor
Health Visitor
Practice Nurse
Breast Feeding Counsellor
Lactation consultant
Ante/post natal teacher
Other, please specify
 

3. For how many years have you been practicing?

I'm not , 1-6 ,7-13 , 4-19 , 20+


4. How many ante/post natal, parenting or breastfeeding (please tick as appropriate) classes, on average, do you run per week?

None , 1-2 , 3-5 , 6+

5. Would you like to receive any of the following professional materials? (please tick all that apply)

Freedom to Express Breastfeeding Support Pack: 

Parent leaflet  (25)  

A1 size teaching wall chart (1)

Knitting Pattern (1)

'More than milk' weaning parent leaflet  (25)

'Just add water' first cups parent leaflet  (25)

'Settling down' soothing parents leaflet  (25)


6. Are you pregnant?

If so, which month is your baby due?

If you are happy to receive any further information from the Tommee Tippee Professional Partnership please tick here

Tommee Tippee is Copyright © Designed & Developed by Mayborn Baby & Child Division 2007 - 2008
Company registered in England & Wales 1894022