What matters to you?

West Coast Maternity Services

We aim to provide you with a consistent level of quality care and support during your stay with us. Please feel free to comment on any aspect of your maternal care. We welcome your feedback to help us to continue to improve our care and support to you / your whanau / support people. Thank you.

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* 1. What was the most important issue to you / your partner / family / whanau during your stay? (Tick all that apply)

Breastfeeding support and/or information

Facilities

Information provided

Standard of care

Visiting hours

Your birthing choices were respected and supported

Your cultural / spiritual needs were respected

Your privacy was respected

Other (please specify)

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* 2. What were the best things about the care we provided? / What should we continue doing?

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* 3. How could we improve the care we provide?

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* 4. Which facility provided the care?

Maternity Unit, Te Nikau Hospital

Gloriavale Community

Kawatiri Birthing Unit

Other (please specify)

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* 5. When was this care provided? Please tell us the month and Year.

Please tell us a little about yourself

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* 6. Was this your first baby / pepi?

Yes

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* 7. Which ethnic group do you identify with? (Tick as many as apply)

NZ Maori

NZ European

Samoan

Cook Island Maori

Niuean

Chinese

Indian

British

Other Ethnicity (please specify)

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* 8. Please tell us your age

15 - 19 years

20 - 29 years

30 - 39 years

40+ years

What matters to you?

West Coast Maternity Services

Question Title

* 1. What was the most important issue to you / your partner / family / whanau during your stay? (Tick all that apply)

Question Title

* 2. What were the best things about the care we provided? / What should we continue doing?

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* 3. How could we improve the care we provide?

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* 4. Which facility provided the care?

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* 5. When was this care provided? Please tell us the month and Year.

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* 6. Was this your first baby / pepi?

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* 7. Which ethnic group do you identify with? (Tick as many as apply)

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* 8. Please tell us your age

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* 9. If you would like us to contact you to discuss anything further, please provide your name and a contact number and / email. Thank you.