Background: The rise in cases of anaphylaxis (TA) to ticks ( Ixodes holocyclus) in Australia underscores the need for effective tick bite prevention and management strategies. This study investigates tick bite prevention and management strategies employed by patients who have previously suffered an anaphylaxis from a tick bite and to whom tick bite prevention and management strategies had been explained contemporaneously. Methods: Patients diagnosed with TA by a consultant immunologist between 2005-2022 in New South Wales, Australia, completed a survey in 2021 assessing tick bite recurrence, life stage identification, removal methods, need for medical assistance, prevention strategies, and geographic tick bite locations. Data were displayed using bar graphs, relationships between tick bite occurrence and prevention methods, such as use of permethrin-treated clothing and backyard pest control were analysed with Kaplan-Meier curves and log-rank tests. Results: Despite receiving education at the time of their previous tick anaphylaxis, 59% of patients experienced further tick bites and 50% struggled to identify the tick life stage. Preferred prevention methods included avoidance, untreated clothing, and repellents, with some using backyard insecticides. We observed a trend towards reduced tick bite recurrence among patients who treated their backyards and wore permethrin-treated clothing. 46% of bites occurred in patients’ backyards. Adherence to tick removal advice was highly variable. Only 30% of patients sought medical help when bitten again. Conclusion: The recurrence of tick bite in tick anaphylaxis patients given education at the time of anaphylaxis, indicates a need for better education and adherence to prevention strategies, targeting high-risk groups, to prevent fatalities.