Feedback and Evaluation - Birth
Your honest feedback helps us identify areas for improvement. Thank you for taking the time!
How many weeks into your pregnancy were you when you started seeing your midwife?
Your answer
How satisfied are you overall with your midwifery care? *
Completely unsatisfied
Completely satisfied
How satisfied are you with the value of the care you received compared to the cost? *
Completely unsatisfied
Completely satisfied
How satisfied are you with your OB care? (Initial risk screening, 36 week visit, NST if you had one, etc.) *
Completely unsatisfied
Completely satisfied
How satisfied are you with the other service providers we recommended (doulas, childbirth classes, pediatricians, chiropractors, etc.)? *
Completely unsatisfied
Completely satisfied
If you are not completely satisfied, please tell us what happened and what could have been better.
Your answer
What did you like about the prenatal care you received?
Your answer
Which parts of prenatal care could have been better for you?
Your answer
What did you like about the labor and birth care you received?
Your answer
Which parts of the labor and birth care could have been better for you?
Your answer
What did you like about the postpartum care you received?
Your answer
Which parts of postpartum care could have been better for you?
Your answer
Is there anything you wish we had discussed or spent more time on prenatally?
Your answer
Is there anything you wish we had spent less time on prenatally?
Your answer
Any other thoughts or feedback?
Your answer
What's your name?
If you would rather give anonymous feedback, leave this blank.
Your answer
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