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Ipswich and East Suffolk MVP Feedback Survey
1.
Where was your maternity care and/or birth?
Ipswich Hospital
Colchester Hospital
Clacton Hospital
2.
When was your maternity care experience - please provide month and year
3.
What type of birth did you have?
Spontaneous labour in hospital
Waterbirth
Home birth
Induction
VBAC
Emergency Cesarean Section
Planned Cesarean Section
Other
4.
Please let us know what topics you'd like to leave feedback on, general feedback is also great
Quality of maternity care
Birth choices and support
Infant feeding support
Birthing partner views
Bereavement - miscarriage, still birth and infant loss
LGBTQ+
Twins and multiples
Staff Attitude - positive
Staff Attitude - negative
Black, Asian, Minority Ethnic
English is not my first language
Refugees and asylum seekers
Mental Health
Certain religious customs to be observed
Hospital facilities
Gypsy, Roma, Traveller Communities
Induction process
Domestic violence and/or abuse victims
Physical disability
I and/or my partner have special needs
Midwife led unit - birthing centre facilities
Parking or travel issues
NNU
Maternity Triage
Other (please specify)
None of the above
5.
Positives - what went well
6.
Challenges - what could have been better
7.
What changes would you like to see to improve this for people in the future
8.
How satisfied were you with the care you received overall?
Traumatic experience of care/very poor quality of care
Poor experience of care
Improvements needed with level of care received
Expectations met with the level of care
Positive experience - pleased with the experience of care give
Traumatic experience of care/very poor quality of care
Poor experience of care
Improvements needed with level of care received
Expectations met with the level of care
Positive experience - pleased with the experience of care give
9.
General comments - is there any other information that would be relevant to this feedback in relation to the feedback topic you have selected?
10.
Diversity questions - if you would prefer not to answer the following that is ok, please just skip to the end. Who are you? Please select as applies:
Mother or birthing person
Partner of the mother or birthing person
Birth partner
Surrogate
Other
11.
Ethnicity
White British
Mixed - white and black Caribbean
Mixed - White and black African
Mixed - white and black Asian
Any other mixed background
Asian - British
White Irish
Any other white background
Asian - Indian
Asian - Pakistani
Asian - Banladeshi
Any other Asian background
Black - British
Black - Carribbean
Black - African
Any other black background
Chinese
Romany Gypsy
Irish Traveller
Any other ethnic group
Prefer not to say
12.
What is your age
17 or under
18-24
25-34
35-44
45 or over
Prefer not to say
13.
Please select the sexual orientation category that best represents you
Heterosexual
LGBTQ+
Prefer not to say
14.
What is your marital status
Single
Married
Cohabiting
Separated or divorced
Widowed
Prefer not to say
15.
How many children do you have
Yet to give birth
one
two
three
four or more
Prefer not to say
16.
Please give the first part of your post code e.g IP3, C08 etc
17.
How did you hear about the MVP?
Hospital - midwife, consultant, ward staff, volunteer
Social media
Antenatal classes
Post natal support classes (e.g baby massage classes)
Another pregnant woman/ pregnant person
Another new parent
Infant feeding support services
Other (please specify)
18.
If you are interested in chatting more to an MVP representative or would like to join our discussions please provide your details and we will get in touch.
Name
Email Address
Phone Number
Current Progress,
0 of 18 answered