Question Title

* 1. How many weeks pregnant was your wife/partner when you found out that the baby died?

Question Title

* 2. How many weeks gestation was the baby when he/she passed away?

Question Title

* 3. How was baby delivered?

Question Title

* 4. How did you find out that the baby died? (Please check any that apply)

Question Title

* 5. If you had an ultrasound, please check any that apply to your ultrasound experience.

Question Title

* 6. Please check any that apply to your experience of finding out, from your doctor, that the baby had died.

Question Title

* 7. What term did the doctor use when referring to the baby’s death? (Please check any that apply)

Question Title

* 8. What term did the doctor use when referring to your baby? (Please check any that apply)

Question Title

* 9. Were you given information to make a choice on miscarriage at home vs. hospital procedure?

Question Title

* 10. Why did you choose a surgery instead of a miscarriage at home? (Please check any that apply)

T