You can always press Enter⏎ to continue
baby
Dear Guernsey Mamma,
Please take a moment to answer this pregnancy and childbirth survey.
8
Questions
START
1
Have you lived on Guernsey between 2020-2022?
Yes
No
Some of the time
Previous
Next
Submit
Press
Enter
2
Were you pregnant on Guernsey between 2020 and 2022?
YES
NO
Previous
Next
Submit
Press
Enter
3
When you were pregnant did you want the option to have a midwife supported home birth?
Yes
No
I might have liked that option
I did have a local midwife support my home birth
I hired a private midwife for my home birth
I had an unassisted home birth
Yes but I’m still pregnant, I haven’t delivered yet
No but I’m still pregnant, I haven’t delivered yet
Previous
Next
Submit
Press
Enter
4
Were you denied a home birth by your midwife due to the pandemic or staff shortages?
YES
NO
Previous
Next
Submit
Press
Enter
5
Do you hope that home birth support returns to Guernsey?
Previous
Next
Submit
Press
Enter
6
Is there anything you want to share about your pregnancy or childbirth experience on Guernsey between 2020-2022?
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
7
Sign your name to be included in the survey results.
First Name
Last Name
Previous
Next
Submit
Press
Enter
8
Please input your email address if you would like us to follow-up with you as we fight for midwife supported home births on Guernsey.
example@example.com
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
8
See All
Go Back
Submit