Improving Maternity Care in Our Community Let's Get to Know You... Question Title * 1. Are you... A person who has given birth and received maternity care in our community A partner/support person of someone who has given birth and received maternity care in our community A healthcare or birth worker that serves pregnant and birthing persons Other (please specify) Question Title * 2. Where have you received services for prenatal care? Check all that apply. Obstetrician / MD practice Midwifery care from a CNM / CPM Community Health Clinic Birth Center practice Other (please specify) Question Title * 3. Where have you experienced or observed birth? Check all that apply. Birth Center Home Birth Hospital Unattended, either planned or unplanned Other (please specify) Question Title * 4. How do you self-identify? This can be a cultural, religious, ethnic, or other identity that defines how you are perceived by the world around you. Question Title * 5. Do you have health insurance that would pay for maternity care? Is so, what kind? Medi-Cal or other Medicaid program TriCare or Military Insurance Private Insurance (PPO) Plan HMO Plan (e.g. Kaiser) Healthshare (such as through a religious organization) I have insurance, but prefer to pay cash for my services I don't have health insurance Next