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The Ripple Effect

Pregnancy and Preparation survey for Men

We believe Dads ‘to be’ can play a much more effective role in these crucial early stages of their child’s life. By completing this survey you’ll be helping professionals understand what you want to know about during your partner’s pregnancy.

If you could understand more about the pregnancy easily and quickly, what would you want to know about?

Multiple selection









If you wanted to know about the labour itself, what would be important to you?

Multiple selection












If you have asked yourself any of the following questions during your partner's pregnancy, please select which ones

Multiple selection








Of those questions, which ones would you most like to have answers to?

Multiple selection








What are your concerns about the pregnancy? Please write in priority order.





Pregnancy and Preparation survey for Women

By completing this survey you’ll be helping professionals understand what you want and need during your pregnancy. We want to design a system that provides you with all the tools and information that you need in today’s environment.
KEY

= This means MULTIPLE answers

= This means SINGLE answers

What trimester are you currently in?





What is your biggest fear or concern about your pregnancy?










If you have any fear surrounding the actual birth of your baby, what would be your biggest fear?








If you have concerns about your own health during your pregnancy, what is your main concern?








If you have concerns about your relationship during and after your pregnancy, what would be your biggest concern?








Which of the following areas of your work do you feel are important for you to manage effectively while you're pregnant?

Multiple selection







Which of the following do you feel is important for you to have in a support team you can trust?

Multiple selection










Which of the following do you feel are important for you to have in an exercise plan while you're pregnant?

Multiple selection









Which of the following educational tools are you using during your pregnancy?

Multiple selection









What are the 3 subjects/topics you'd most like more information on from these educational materials?



Which of the following do you feel are important for you to have professional advice on while you're pregnant?

Multiple selection










Which types of support do you feel are most important for you while you're pregnant?

Multiple selection









What communication skills are important for you?

Multiple selection





Which of the following do you feel are important for your partner to be informed about?

Multiple selection








Our Survey

What is your biggest fear or concern about your pregnancy?










If you have concerns about your own health during your pregnancy, what is your main concern?








Would you like a detailed list of what you need in the first week? e.g. How many nappies, creams, type of wipes etc.