Community Maternal Health Survey

Purpose: The Northeast Regional Maternal Health Coalition is gathering input from all community members – including people with pregnancy, birth, postpartum, parenting, professional, caregiving, or no direct maternal health experience – to better understand community perceptions, awareness, needs, barriers, and priorities related to maternal health. Your responses will help inform local priorities, partnerships, outreach, advocacy, and services.

Confidentiality: Your responses are confidential. Results will be reported in summary form only. You may skip any question you do not wish to answer, and you may end this survey at any time.

Estimated time: 10–15 minutes.
About You and Your Connection to the Community
1.Which best describes your connection to maternal health? Select all that apply.
2.How familiar are you with maternal health issues in your community?
3.What is the ZIP code where you live?
4.Would you describe the area where you live as mostly: