MI-Home Satisfaction Survey
You are receiving this survey as you have received one or more appointments during 2020-2021 with the Midwifery Integrated Home Visitation Program, also known as MI-Home. Le'a Minton is the midwife and lactation consultant, Dr. Men-Jean Lee and Dr. Lisa Bartholomew are the maternal-fetal medicine physicians, and staff you may have interacted with include Jenaiah Banasihan. We appreciate any feedback you have to share regarding your experience with the MI-Home program. This survey is 100% anonymous.
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Which health services have you received from us? (select all that apply) *
Please select all support services that we assisted you with: *
How would you rate your experience with the MI-Home Program? *
Poor Experience
Excellent Experience
What was the most beneficial part of the program for you? *
What could we have done better to improve your experience? *
If MI-Home were not available, what would you have done to access health care and social services? *
How likely are you to recommend MI-Home to others? *
Not At All likely
Extremely Likely
If you are no longer receiving services from MI-Home, please select any of the following that applies to you: *
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