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We are sorry for your loss and appreciate you taking the time to share your experiences with us.  We hope you are finding the support you need but please have a look at: https://www.bswmaternityvoices.org.uk/resources/baby-loss/ for further information.

If you would like further information before completing this anonymous survey, please email us on info@bswmaternityvoices.org.uk

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* 1. Enter the first half of your postcode (i.e. SN25)

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* 2. Who is completing this survey?

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* 3. Please describe your Ethnicity / Nationality

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* 4. Do you consider yourself disabled

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* 5. When did you experience your loss? (month/year)

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* 6. At what stage did you experience your loss?

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* 7. Which trust did you receive your antenatal care from?

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* 8. Where did you receive your care?

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* 9. Can you describe how were you supported?  

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* 10. What would have improved your care?  

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* 11. How would you describe your relationship with your named midwife?

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* 12. What did you appreciate most about the support you were offered?  

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* 13. Is there any information you wish was shared with you?  

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* 14. Did you access support from any of the following organisations:

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* 15. Is there anything else that you would like to tell us? (About your care or how you think services could be improved)

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* 16. Our surveys are anonymous, however if you would like to be contacted by the MVP lead for you area please leave your name / email here:

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