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Postpartum Survey
About Your Experience
1. Have you given birth within the past five years?
*
A
Yes
B
No
C
Prefer not to answer
D
More than 5 years ago
2. How long ago did you give birth to your most recent child?
*
A
Less than 3 months ago
B
3 to 6 months ago
C
7 to 12 months ago
D
1 to 2 years ago
E
3 to 5 years ago
3. Before giving birth, how prepared did you feel for the postpartum period?
*
1
2
3
4
5
Not prepared at all
Extremely prepared
4. What was the most difficult part of your postpartum experience?
*
Support After Childbirth
5. Who provided support during your first six weeks after childbirth?
*
Spouse or partner
Parent or grandparent
Other relative
Friend
Postpartum doula
Birth doula
Midwife
Nurse or physician
Lactation consultant
Therapist or counselor
Church or faith community
Paid caregiver
No one
Other
6. What types of support did you receive?
*
Meal preparation
Newborn care
Overnight assistance
Breastfeeding or feeding support
Emotional support
Help with physical recovery
Housekeeping or laundry
Transportation
Childcare for older children
Help attending medical appointments
Education about postpartum recovery
Other
7. What help did you need but did not receive?
*
Rest and sleep
Meal preparation
Newborn care
Overnight assistance
Breastfeeding or feeding support
Emotional or mental health support
Physical recovery support
Housekeeping or laundry
Transportation
Childcare for older children
Help understanding warning signs
Support for my spouse or family
I received all the help I needed
Other
8. How supported did you feel during your first six weeks postpartum?
*
0
1
2
3
4
5
6
7
8
9
10
9. Please describe a time when you felt overwhelmed, alone, or unsupported after childbirth.
*
Professional Postpartum Care
10. Which professional postpartum services did you use?
*
Postpartum doula
Birth doula
Lactation consultant
Midwife
Home-visiting nurse
Pelvic-floor therapist
Mental health professional
Meal-delivery service
Housekeeping service
Newborn-care specialist
Postpartum retreat or recovery center
I did not use professional postpartum services
Other
11. How did you find the postpartum providers or services you used?
*
Referral from a healthcare provider
Recommendation from family or friends
Internet search
Social media
Insurance provider directory
Hospital or birthing center
Church or community organization
Doula or midwife referral
Other
12. What factors would help you trust a postpartum care provider?
*
Professional training or certification
Healthcare experience
Background check
Positive reviews or testimonials
Recommendation from a trusted person
Clear pricing
Cultural understanding
Faith-based approach
Personal experience with childbirth
Clean and safe environment
Respect for privacy
Emergency procedures
Other
Payment and Purchasing
13. Did you or your family pay for any postpartum support, products, or services?
*
A
Yes
B
No
C
Someone else paid, but I do not know the amount
D
Prefer not to answer
15. Approximately how much was spent on postpartum support?
*
A
Less than $250
B
$250 to $499
C
$500 to $999
D
$1,000 to $2,499
E
$2,500 to $4,999
F
$5,000 or more
G
I do not know
H
Prefer not to answer
16. How were those services paid for?
*
Personal funds
Spouse or partner
Family or friends
Private health insurance
Medicaid
Health savings or flexible spending account
Employer benefit
Grant or community program
Other
17. Was there a postpartum service you wanted but did not purchase?
*
A
Yes
B
No
C
I was not aware that postpartum services were available
Improving Postpartum Care
19. Which features would matter most when selecting a postpartum care service?
*
Affordable pricing
Insurance coverage
Qualified healthcare professionals
Private accommodations
Overnight care
Nutritious meals
Breastfeeding or feeding support
Mental health support
Physical recovery support
Newborn-care education
Family education and involvement
Childcare for older children
Faith-based care
Cultural understanding
Farm-based or peaceful natural environment
Other
20. What would a postpartum care service need to provide for you to consider it worth paying for?
*
Thank you for completing this survey. Your feedback will help shape postpartum services that respond to the real needs of mothers and families.
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