Maternity Survey

Maternity Survey

Your feedback helps us to celebrate what’s working well and identify where we need to improve. We would be grateful if you would take a moment to review the service you have received during your pregnancy, birth and postnatal stay.

Screening tests in pregnancy are designed to identify conditions such as infectious diseases, sickle cell and thalassaemia, and to assess the chance of your baby having three chromosome differences.

1. Did you feel that the information you were given before and after the offer of these tests was:

Very good Good Neither good nor poor Poor Very poor Don't know

	Very good	Good	Neither good nor poor	Poor	Very poor	Don't know	Not applicable to me/ I didn't use this service
2. Antenatal service
Notes:
3. Maternity day assessment unit service
Notes:
4. Maternity Triage Line
Notes:

2. Antenatal service

Very good Good Neither good nor poor Poor Very poor Don't know Not applicable to me/ I didn't use this service

3. Maternity day assessment unit service

Very good Good Neither good nor poor Poor Very poor Don't know Not applicable to me/ I didn't use this service

4. Maternity Triage Line

Very good Good Neither good nor poor Poor Very poor Don't know Not applicable to me/ I didn't use this service

5. Care at birth

Very good Good Neither good nor poor Poor Very poor Don't know

	Very good	Good	Neither good nor poor	Poor	Very poor	Don't know
5. Care at birth
Notes:

6. Feeding support (at hospital, birth centre or home)

Very good Good Neither good nor poor Poor Very poor Don't know Not applicable to me/ I didn't use this service

	Very good	Good	Neither good nor poor	Poor	Very poor	Don't know	Not applicable to me/ I didn't use this service
6. Feeding support (at hospital, birth centre or home)
Notes:
7. Postnatal ward
Notes:
8. Postnatal community service
Notes:

7. Postnatal ward

Very good Good Neither good nor poor Poor Very poor Don't know Not applicable to me/ I didn't use this service

8. Postnatal community service

Very good Good Neither good nor poor Poor Very poor Don't know Not applicable to me/ I didn't use this service

9. Newborn and infant physical examination (baby's first medical)

Very good Good Neither good nor poor Poor Very poor Don't know

	Very good	Good	Neither good nor poor	Poor	Very poor	Don't know
9. Newborn and infant physical examination (baby's first medical)
Notes:

10. Were you (and / or your partner or a companion) left alone by midwives or doctors at a time when it worried you? (cross ALL that apply)

Yes, during early labour Yes, during the later stages of labour Yes, during the birth Yes, shortly after the birth No, not at all

11. On the day you left hospital, was your discharge delayed for any reason?

No Yes

12. Overall, how was your experience of our service?

Very good Good Neither good nor poor Poor Very poor Don't know

13. Do you have any other comments regarding any aspect of your care? Is there a member of staff that you met during your pregnancy, birth or postnatal care that you would like to recommend?

4000 characters remaining

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Can we share your comment publicly (for example, on our website or printed material such as posters)?

Yes No

14. What is your ethnicity?

Asian / Asian British Black / African / Caribbean / Black British Mixed / Multiple ethnic groups White Self describe Prefer not to say

15. If you selected 'self-describe' please specify below:

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Thank you

Thank you for taking the time to complete this survey