ECMN Peer Support Feedback Form
Thank you for taking part in the ECMN peer support initiative. Your feedback is really important in helping us improve this service and ensure it continues to support newly qualified midwives in a meaningful way. This form is anonymous, and all responses will be treated confidentially.
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1. Date of peer support session
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
2. Which peer supporter did you have your session with?
*
Please Select
Nicole
Claire
Chloe
Emily
Jen
Lauren
3. Was this your first session with this individual?
*
Yes
No
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The Peer Support Session
4. Overall, how would you rate your peer support experience?
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1
2
3
4
5
1-5 scale (Very poor - Excellent)
5. Did you feel you listened to, understood and supported during your session?
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Yes, completely
Mostly
Somewhat
No
6. How easy was it to access the peer support service?
*
Very easy
Somewhat easy
Not very easy
7. Did you feel comfortable speaking openly with your peer supporter?
*
Yes, completely
Mostly
Somewhat
No
8. Following your session, how do you feel? (tick all that apply)
*
More confident
Less alone
Reassured
More informed
More hopeful
More motivated
I feel the same as before the session
Other, (please specify)
If you ticked other, please explain
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9. Did the session help you with the challenges you were experiencing?
*
Yes, a lot
Yes, somewhat
A little
Not really
Not at all
10. Do you feel you would benefit from another peer support session?
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Yes
No
Unsure
11. Would you feel comfortable accessing peer support again in the future?
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Yes
No
Maybe
12. Would you feel comfortable having peer support with the same person again?
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Yes
I'd like a different person next time
13. Would you recommend ECMN Peer support to another early career midwife or student midwife?
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Yes
No
Maybe
14. Is there anything else you'd like to share with the ECMN team?
15. Has accessing peer support had a positive impact on your wellbeing, confidence or experience as an an early career midwife or student? If so, please tell us how.
*
16. Are you happy for your feedback to be shared anonymously in ECMN reports, presentation or social media?
*
Yes
No
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