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CenteringPregnancy Evaluation (v.1)
Please give us feedback on your experience with your group
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* Indicates required question
What was your Due Date?
*
MM
/
DD
/
YYYY
Is this your first baby?
*
Yes
No
Choose the topics that you found helpful. (Pick as many as you want)
Common changes in pregnancy
Nutrition
Exercise and relaxation
Pregnancy Problems
Breastfeeding and infant feeding
Sexuality and family planning
Family Dynamics and planning ahead
Family violence and abusive relationships
Labor and birth
Baby care and parenting
Postpartum care
Emotional changes and mood disorders
I liked getting my care in virtual group sessions (online / zoom meetings)
*
Agree 👍
1
2
3
Disagree 👎
It worked for me to have the sessions in a virtual format
*
Agree 👍
1
2
3
Disagree 👎
It worked well to have the individual health assessment during the group session
*
Agree 👍
1
2
3
Disagree 👎
Centering helped me to feel prepared for Pregnancy, Birth and Parenting
*
Agree 👍
1
2
3
Disagree 👎
I plan to keep in touch with the other group members.
*
Agree 👍
1
2
3
Disagree 👎
What would you tell a pregnant friend about getting care this way?
Your answer
How could we have made group prenatal care even better?
Your answer
Overall, on a scale of 1 (the best) to 5 (the worst) how do you feel about group care?
*
The best 😀
1
2
3
4
5
The worst 😩
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