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Miscarriage, Loss, & Faith Survey
Thank you for taking the time to complete this survey. Your answers are very helpful as I conduct research for my book on these sensitive topics.

In addition to hearing from mothers who've experienced miscarriages, I would also like to hear from dads/partners and from those who have experienced other forms of baby/pregnancy loss including infertility and elective abortion. Please note, however, that my personal experience is with miscarriages so many questions circle back to that particular type of loss. (All of these types of losses are SO different and yet of course there is lots of overlap. I haven't yet decided how broadly the book will go in addressing loss outside of miscarriage—hopefully this survey will help me determine that.) Feel free to skip questions you feel don't apply to your experience. Only a small selection of them are 'required' as indicated by a red asterisk.

For those questions that aren't multiple choice or check boxes, please answer as briefly or extensively as you wish. The length of the survey will depend on how extensively you answer, but most complete it in 10-15 minutes. All responses are anonymous unless you choose to share your details with me at the end of the survey.

Please note: There are several questions that relate to faith (I’m a Christian and write from that perspective), but you don’t have to share my faith or care about spirituality to take the survey. All answers and perspectives are most welcome (and needed).

For any questions related to this survey or its use, please feel free to email me at hello@adrielbooker.com.

Kind regards,
Adriel Booker x

Background Information
Your current age:
Are you the mother or father?
Where do you live? (You may include your specific country/state/territory/city in the "other" option if you'd like.)
Do you belong to a faith tradition?
Would you consider your faith to be:
Miscarriage Experience
How long ago did you lose your baby? (Please check all that apply if you're experienced more than one loss.)
Required
How many miscarriages (before 20 weeks) have you experienced? (Check more than one if applicable.)
Required
How far along were you when you miscarried? (Check more than one if you’ve had multiple losses.)
Required
If you've experienced multiple losses and it's easier to explain in a comment box, please do so here. (Otherwise, please skip to the next question.)
Your answer
If you've experienced infertility, how long for?
Where you aware how common miscarriage is before experiencing one yourself? (Most studies estimate 1 in 4 pregnancies end in miscarriage, while some say 15% and others say it could be as high as 50%.) Check all that apply:
Do you have any other living children?
If you answered 'yes' to the previous question, do you feel that having living children has made your miscarriage experience more or less difficult? Why?
Your answer
Please describe your miscarriage. (For example: Did you have a “missed miscarriage”? Were you induced by medication? Did you deliver naturally or have a D & C? etc.)
Your answer
Do you regret how your miscarriage was managed? (i.e. wish you had D&C surgery or wish you miscarried naturally, etc.) If so, why?
Your answer
Grief
What emotions did you experience during your most intense period grief? (Check all that apply.)
Required
Please list any other emotions you felt that weren't included above:
Your answer
Please complete the sentence: The most intense part of my grief lasted for:
Did you ever wonder if your grief/grieving process was normal?
Please complete the sentence: The thing that surprised me most about my grief was _____________.
Your answer
What does the term “grieving well” mean to you? Do you think you were able to grieve well? Why or why not?
Your answer
Support & Relationships
Had you already announced your pregnancy when you miscarried? (If you’ve experienced more than one miscarriage, please answer according to your first pregnancy loss.)
If you've experienced more than one miscarriage and shared differently to your first (as noted above), please briefly explain:
Your answer
Please describe the support you had as you grieved. (Check all that apply.)
Required
Would you like to make any additional comments related to the last question—how your husband grieved, the support you received, etc? (If no, please skip to the next question.)
Your answer
Please fill in the blank: The best place I found ongoing support (not just initial support) was ______________.
Your answer
Did your miscarriage have an impact on your friendships? If so, how?
Your answer
What was the worst (most hurtful/damaging) thing people said to you after your miscarriage?
Your answer
What was the best (most helpful/encouraging) thing someone said to you after your miscarriage?
Your answer
If you could tell your friends/family one thing about how you would have liked to receive care after your miscarriage (without the fear of being judged), what would it be?
Your answer
Faith
Did your miscarriage cause you to have a crisis of faith? (Check all that apply, especially if you've experienced multiple losses and responded differently.)
Required
If you could ask God one question about your miscarriage, what would it be?
Your answer
How would you describe God when your miscarriage was still fresh? (Check all that apply.)
Required
How close did you feel to God in the first six weeks after your miscarriage?
Close to God
Detached to God
How close did you feel to God during the first year after your miscarriage (excluding the first six weeks)?
Close to God
Detached to God
Did you sense God’s grace while you grieved? If yes, in what way did you sense (or access) his grace to keep going and keep healing?
Your answer
Moving Forward
Did you name your baby?
If you've named your baby, do you refer to them by name?
If you didn't name your baby, why not? (Check all that apply.)
Are there any special ways you commemorated the loss of your baby or any ways you remember them now (memorial ceremony, traditions for remembrance, rituals, etc.)?
Your answer
Has your loss been a catalyst for you to reach out to other bereaved parents or help people in ways you had not considered before experiencing miscarriage? (If yes, please briefly describe.)
Your answer
Assuming they're asking for it, what advice would you give a parent who’s just experienced their first miscarriage? (Or, what do you wish you had known before your first miscarriage?)
Your answer
Pregnancy After Loss
Did you try for more children after experiencing your miscarriage?
If you decided to try for more children after your miscarriage, how did you know when you were "ready" to try again?
Your answer
If you got pregnant again after miscarriage, what where the things you found the most difficult?
Reading & Books
Have you read any of the following related to miscarriage and loss? (Check all that apply.)
Required
If you checked any of the above that you’d recommend others to read, what is the title (or titles)?
Your answer
What do you think is the single most important issue to cover in a book related to miscarriage, loss, and faith?
Your answer
Would you be interested in reading about any of the following? (Check all that apply.)
Required
Do you grant Adriel Booker permission to quote your answers in a blog post, book, or ebook?
If you answered any variation of "yes" on the previous question, please provide me with your FIRST NAME and EMAIL ADDRESS (include age and location if you'd like). ***It's important you include your email address so I can reach out to you if there is anything I need clarification on or need to ask permission for.***
Your answer
Thank you
THANK YOU for taking the time to complete this survey. I am so, so grateful to hear your stories and to have a further sense of the needs of women and men who’ve experienced miscarriage and loss. If you have any questions or additional comments, please email me at hello@adrielbooker.com.
—Adriel Booker
P.S. If you would like to be included on my email list to be notified when the book is released, please provide an email address here:
Your answer
If you'd like to read what I've already published about miscarriage, grief, and loss, you can find more than 20 articles in this section of my blog archives:
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