Midwifery Group Practice Feedback Form Thank you for taking the time for this survey. Our program hopes to have supported you and your family and your feedback is important to us. All questions are optional, please share as much or as little as you prefer. Your Personal Information Was your care at: Byron Community Birthing Service Lismore Community Midwifery Service Murwillumbah Birth Centre The Tweed Midwifery Group Practice Your baby's date of birth: Your postcode: No. of births BEFORE this one Was your birth: Vaginal Caesarean Midwifery Program Overall would you say your experience with the midwifery program was: Positive Negative Neutral Overall Experience: In your words please describe your overall experience. Was there anything you liked most or least? If you would like to share your birthing story here, please do. Would you say the Midwifery Program offered your partner/support person opportunity to be involved? Yes Mostly Not at all Did you find that you were able to access referral when necessary? Yes Mostly No Other… Other For example to a Doctor, Physiotherapy, Social Worker or Child and Family Health Nurse? Would you say that your experience of being at home early after your birth was: Positive Negative Neutral Other… Other (Any comments about your post birth care post in the "other" field) Do you think your family benefited from being a part of the Midwifery Program? Yes Mostly Not at all Breastfeeding Did you choose to breastfeed? Yes No Partly Are you still breastfeeding? Yes No Partly If you are breastfeeding, how long do you imagine you will continue? 6 weeks or less More than 6 weeks Ongoing Other… Other Can you describe your breastfeeding experience? Home Birth Was home birth an option for you? Yes No Not sure Was on a wait list Would you have chosen a planned home birth if it was offered by the health service? Yes No Maybe Can you suggest anything that may improve our service? How did you find out about your Midwifery Program? GP Friend or family Internet Phoning the hospital Other… Other Did you find accessing the program easy? Yes No Other… Other (You can add additional comments in the "other" field.) Additional Comments Any other comments? You can give further feedback, positive or negative by speaking with the MGP manager Patrice Hickey on 0429 123 242 or at the area complaints and compliments page. Click here. Thank you! Your feedback helps. Submit Leave this field blank