Heart of Houston Birth & Wellness Center
Client Satisfaction Questionnaire
Please take some time to provide us with your evaluation of the midwifery care that you received during your recent pregnancy, birth and postpartum period. You do not need to identify yourself unless you would prefer to do so. Your comments will be reviewed by our practice and can help us evaluate and improve the quality of care we provide to our clients.
Was this your first time in midwifery care?*
Would you recommend our care to a friend?*
Did midwifery care meet your expectations?*
Were there enough opportunities for you to meet the midwives involved in your care?*
In general, were your choices and decisions supported by your midwife?*
Frequency and length of your prenatal visits*
How welcome your partner or support people felt*
Usefulness of information provided for decision making*
How comfortable you felt asking questions*
Consistency of information provided by your midwives*
Your overall satisfaction with your pregnancy care*
Where were you planning to give birth?*
Where did you actually give birth?*
The support provided to you in labor by your midwife*
Care provided by the birth assistant*
The clarity and amount of information provided to you about your progress in labor*
Usefulness of information provided for decision making*
How much you felt like an active participant in decision making*
Consistency of information provided by care providers*
Overall care during your labor and birth*
If you had a hospital birth:
Care provided by hospital staff, such as doctors/midwives & nurses*
Your overall satisfaction with having a hospital birth*
The number, frequency, and length of postpartum visits*
Breastfeeding support provided*
Emotional support provided*
How comfortable you felt calling with questions or concerns*
Consistency of information provided by your midwives*
Your overall satisfaction with your postpartum care*
Student Involvement
If you had a student involved with your care, please complete the following section.
Your understanding of the scope of the student’s role in the practice*
The supervision of the student by the midwives*
Your overall satisfaction with the student’s involvement in prenatal care*
Your overall satisfaction with the student’s involvement in birth*
Your overall satisfaction with the student’s involvement in birth*
Whole Heart Collective Classes
What WHC classes did you attend?
Your overall satisfaction with the prenatal classes*
Please add any additional comments, feedback or suggestions:
