Mercy Perinatal Lived Experience Registry EOI Survey

Expression of Interest

Mercy Perinatal was launched in 2015 as a 3 pillar centre of excellence in clinical care, education and research in high risk pregnancy. As Co-Directors, Professor Sue Walker AO and Professor Stephen Tong lead a cross-disciplinary team of clinicians, educators and researchers to ensure best outcomes for pregnant women and their families.

Members of the Mercy Perinatal Lived Experience (MAPLE) Registry will provide valuable consumer/ lived experience into research and education. Individuals on the MAPLE Registry will provide insights into what really matters for the community in pregnancy care and how we best communicate this to patients. This may be through surveys, longer form questionnaires, reading and providing feedback on public facing materials, and for select participants partnering with our researchers to provide insights in discussion groups.

Through our registration database we will be able to identify and provide opt-in opportunities to assist with this valuable work.

Please forward any other information or supporting documents to mercyperinatal@mercy.com.au

1.Name(Required.)

2.Contact Email address (this will be our main form of contact)(Required.)

3.Contact Phone Number(Required.)

4.Do you speak a language other than English?

Yes

Please Specify

5.What interests you about joining the Mercy Perinatal Lived Experience Registry? (100 words or less)

6.Which of these best describes your experience?

A person who has lived experience with pre-pregnancy/pregnancy/birthing

A person who has lived experience supporting someone through birth

If your experience is not reflected above we please consider sharing here:

Answers to the below questions relate to our Child Safety Obligations for anyone attending meetings or focus groups on site at the Mercy Hospital for Women. There are many opportunities for participation that do not require on-site attendance.

8.Do you hold a current Working with Children's Check?

Yes

9.Are you a current member of the Mercy Health Consumer Advisor Register?

Yes

10.If you are not a member of the Mercy Health Consumer Register, you will need to complete onboarding processes, including a police check, if appointed.

I understand, thank you.

Please contact me about this.

11.Is there anything else you would like us to know as part of this EOI?

Send me a copy of my responses via email

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