CLIENT SATISFACTION QUESTIONNAIRE

 

Please take some time to provide us with your evaluation of the midwifery care that you received during your recent pregnancy, birth and postpartum period. You do not need to identify yourself unless you would prefer to do so. Your comments will be reviewed by our practice and can help us evaluate and improve the quality of care we provide to our clients.

General Information
Name *
Name
Was this your first time in midwifery care?
Would you reccommend our care to a friend?
Did midwifery care meet your expectations?
Prenatal Care
Were there enough opportunities for you to meet the midwives involved in your care?
In general, were your choices and decisions supported by your midwife?
Frequency and length of your prenatal visits
How welcome your partner or support people felt
Usefulness of information provided for decision making
How comfortable you felt asking questions
Consistency of information provided by your midwives
Your overall satisfaction with your pregnancy care
Labour & Birth
The support provided to you in labour by your midwife
The clarity and amount of information provided to you about your progress in labour
Usefulness of information provided for decision making
How much you felt like an active participant in decision making
Consistency of information provided by care providers
Overall care during your labour and birth
If you had a hospital birth:
Care provided by hospital staff, such as doctors & nurses
Your overall satisfaction with having a hospital birth
If you had a home birth:
Care Provide by the second midwife
Your overall satisfaction with having a homebirth
Postpartum Care
The number, frequency, and length of postpartum visits
Breastfeeding support provided
Emotional support provided
How comfortable you felt calling with questions or concerns
Consistency of information provided by your midwives
Your overall satisfaction with your postpartum care
Student Involvement
If you had a student involved with your care, please complete the following section.
Understanding of the scope of the student’s role in the practice
The supervision of the student by the midwives
Your overall satisfaction with the student’s involvement in prenatal care
Your overall satisfaction with the student’s involvement in birth
Your overall satisfaction with the student’s involvement in postpartum care
Conclusion
Thank you for taking the time to fill out this questionnaire. Your input is greatly appreciated and will be used to make ongoing improvements to the care that we provide our future clients.