Parent feedback questionnaire
Our team at Harrogate and District NHS Foundation Trust are very sorry for the loss of your baby / babies. Please accept our condolences during this time and our gratitude for the time taken to complete this questionnaire, which we understand can be difficult.
This questionnaire is for women and their partners that have experienced the loss of their baby / babies during pregnancy or shortly after birth. Please give consideration to any aspects of the care you received before, during or following the birth of your baby, commenting on what was important to you, your partner and family. Please complete as much or as little of the form that you are able to, tick the relevant box for each question and write any comments you might have. Some questions may not be relevant to your experience.
All the information you share with us will remain anonymous unless you wish to provide your contact details at the end of this questionnaire. If you would like to discuss any aspects of your care, please contact the bereavement midwife: Alex Souchaud, [email protected] / 07741 700421.
We value the time that you have taken to share your thoughts and experiences with us.