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Birth Reflections Evaluation Form
We would be grateful for your comments on this service. Please complete this short questionnaire.
1.
How did you hear about the service?
2.
Reason for contacting the service?
Your experience of the Birth Reflections visit. (5 being most helpful and 1 being least helpful)
3.
Did you find the midwife informative?
Least Helpful
1 star
2 stars
3 stars
4 stars
Most helpful
5 stars
4.
Were all of your questions answered?
Yes
No
If not please comment on what was not covered:
5.
Overall can you score how useful the meeting was?
Least Helpful
1 star
2 stars
3 stars
4 stars
Most helpful
5 stars
6.
In your opinion is there any way in which the service can be improved?
Thank you for taking the time to answer these questions. We use the feedback to facilitate positive changes in maternity care by identifying areas we can improve upon and by recognising what we are doing well.