MSPQC Patient Reported Experience Measure (PREM) Survey

Why have a (PREM) Survey in Mississippi?

The Patient Reported Experience Measure (PREM) Survey is a survey of recently pregnant and postpartum patients in the state of Mississippi.
It aims to:
  • Help medical teams understand how patients feel about their experience of care
  • Show where improvement can be made
  • Give MSPQC a statewide picture of people’s experience of care to help provide trainings
This survey should take you no more than 7 minutes. We will not ask you your name as a part of the survey. However, you can provide your name and contact information if you are willing share more about your experience after the survey. We will ask a little about your background and we will ask you about your experiences in the hospital during the survey.

Thank you for sharing with us today!
1.What state do you reside in?(Required.)
2.What is your age?(Required.)
3.What is your race or ethnicity?(Required.)
4.Did you give birth within the last 2 years?(Required.)
5.PLEASE SKIP. USE QUESTION BELOW GOING FORWARD: Name the hospital where you gave birth to your baby within the last 2 years.
6.Please choose the hospital where you gave birth from this list.(Required.)
7.What type of Medical Insurance did YOU have during the pregnancy?(Required.)
8.I could take part in decisions about my hospital care.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
9.I could ask questions about my care.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
10.My healthcare team did a good job listening to me, I felt heard.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
11.My healthcare choices were respected by the healthcare team.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
12.My healthcare team understood my background, home life and health history.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
13.We communicated well together.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
14.My healthcare team introduced themselves to me, and my support persons, and explained their role in my care when they entered the room.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
15.The healthcare team asked for my permission before carrying out exams or treatments.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
16.I felt pressured to accept care I did not want.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
17.I felt pressured by the healthcare team to accept care I did not understand.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
18.When the healthcare team could not meet my wishes, they explained why.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
19.I trusted my healthcare team to take the best care of me.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
20.I was treated differently by my healthcare team based on:
21.I was treated with respect and compassion:
22.I was treated with respect and compassion by
23.The medical care I received was rated
24.NOT REQUIRED: If you would like to share more about your experience please do so here:
25.NOT REQUIRED: If you are willing to be contacted for follow up: