Severe Maternal Event Survivor Survey

Survey Information

We are conducting a survey to determine what processes, supports and services are considered essential to patients and their families in the course of surviving a severe maternal event. By completing this survey you will be entered into a drawing to win, one of three, $50 Visa gift cards. Winners will be notified no later than Dec. 15th 2021.

Your answers will inform recommendations given to hospitals to provide better support for those experiencing severe maternal events. We understand these questions may trigger traumatic memories. We ask that you only participate if you feel this is conducive to your healing and won’t impact your mental health negatively.

Before you begin the survey you will be asked a couple qualifying questions. If you are eligible to participate you will be directed to the survey. Thank you for taking the time to provide your valuable responses.

Question Title

* 1. Severe maternal events (SME) are outcomes of pregnancy, labor and birth that result in death or significant short- or long-term consequences to a woman’s health and wellbeing. Using this definition would you consider yourself a SME survivor?

Yes

I don't know