Flange Fitting With PC Fiqa
Please provide accurate and honest information so I can better understand and guide you. Thank you! 😊
🍼 Flange Fitting Info
Mommy's Full Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number. Let say there's extra space at the back then just put 0.
Format: (000) 000-00000.
Email
*
example@example.com
Mommy's Age
*
Pumping Gap
*
2 - 3 hours
3 - 4 hours
5 hours and above
Do You Use Any Pumping Oil/Spray?
*
Yes
No
Pumping Frequency/Day
*
1-2 times
3-4 times
5 times and above
Type of Pump
*
Funnel (Corong)
Wearable
Handsfree
State Brand & Model
*
Suction Level (Mommy's Used to Pump)
*
Pumping Duration
*
10 - 15 minutes
15 - 20 minutes
20 - 30 minutes
1 hour
Total Yield/Session (Both Sides)
*
Current Flange/Insert Size (Both Sides)
*
If unsure, just state unsure
Current Flange/Insert Material
*
Have you had a flange fitting before?
*
Yes
No
Issues/Challenges Experienced (Can choose more than one)
*
Pain During Pump
Nipple Crack
Low Milk Output Despite Frequent Pumping
Breast Fullness
Frequent Clogged Duct
Flange Size Doesn't Feel Right
Unsure of Flange/Insert Size
Milk Bleb
Pain or Discomfort at?
*
Nipple
Areola
Whole Breast
No Pain
DISCLAIMER
Flange fitting is intended to improve pumping comfort and efficiency. Milk output may vary from one mother to another. This service is not a medical treatment.
✅ Consent & Agreement
Photos or Videos May Be Taken After the Consultation for Educational or Promotional Purposes.
*
Yes
No
Submit
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