Muslim Community Survey to Educate Health Professionals
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1. Survey for Providers on Proper Pregnancy Care for Muslim Patients

 
This survey is intended for Muslim women in New York State.

Responses to this survey will be analyzed, and a report prepared for medical professionals working with pregnant women and their families.

Please share your personal stories, so that providers can learn from them. If you do not have a personal story to share, please provide input or pieces of information you feel important for providers to understand.
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1. Contact Information (For follow-up if necessary):

Country of Origin Questions will be used to help determine major cultural groups within our service area.
2. What do you want to tell providers about:
Modesty when dealing with Muslim patients
3. What do you want to tell providers about:
Communication when dealing with Muslim patients

(Please cover how providers can figure out who the decision maker is within the family unit).
4. What do you want to tell providers about:
About Miscarriage; About Abortion
5. What do you want to tell providers about:
Home/Herbal Remedies in Pregnancy


(Did you use any herbal remedies when pregnant? If so, what?)
6. What do you want to tell providers about:
Testing for HIV/AIDS, and Sexually Transmitted Diseases's (for instance herpes or gonorrhea)
7. What do you want to tell providers about:
How you feel about birth control and birth control methods
8. What would be important to you during a prenatal care visit?
9. What do you want to tell providers about:
How my religious beliefs should be honored during prenatal care and childbirth.
10. Comments/Questions/Concerns
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