Question Title

1. Was it a surprise that your baby died during birth or shortly after birth?

Question Title

2. How many weeks pregnant was your wife/partner when she delivered? If you are not sure, please put "unknown". Also feel free to add any comments.

Question Title

3. What delivery situations did you experience? (Please check any that apply)

Question Title

4. Did you have a perinatal or pediatric hospice involved?

Question Title

5. What experiences apply to you when finding out, from the doctor, that your baby had died or had a fatal prognosis? (Please check any that apply)

Question Title

6. What type of information did the doctor share with you? (Please check any that apply)

Question Title

7. What term did the doctor use when referring to the baby’s death? (Please check any that apply)

Question Title

8. What term did the doctor use when referring to your baby? (Please check any that apply)

Question Title

9. Where did your wife/partner deliver your baby? (Please check any that apply)

Question Title

10. Was your wife/partner given information to make choices on how the induction/labor/surgery would progress? (Please check any that apply)

T