Patient opinion is very important in the forward planning of care and services and as such we are very keen to gain feedback and learn from your experiences. This questionnaire was designed for use by women and their partners who have experienced the loss of their baby/babies during pregnancy or shortly after birth.
Please accept our condolences on the loss of your baby and our gratitude for the time taken to complete the questionnaire which we understand can be difficult. Please complete as much or as little of the form that you are able to. Some questions may not be relevant to your experience. Please tick the relevant box for each question and write any comments you may have.
Give consideration to any aspects of the care you received before, during and after delivery of your baby commenting on what mattered to you and your partner/family, what was important to you, what impacted on your experience and what could have been done differently to improve on the care you received. All information will remain anonymous unless you wish to provide your contact details at the end of this questionnaire.
If you would like to discuss any aspect of your care, please contact your team midwife or a member of the bereavement team at the hospital.
We value the time that you have taken to share your thoughts and experiences with us.