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DAFGP Family Follow up Survey

Home / DAFGP Family Follow up Survey

DAFGP Family Follow up Survey:

The Doulas for Aboriginal Families Grant Program would love to hear about your experience with your doula!

We recognize that your time with your newborn is incredibly valuable. We appreciate if you are able to complete this brief survey and in turn, contribute to the enrichment of our program. (Option to remain anonymous).

To be entered into an annual draw for a $200 gift card prize, you will be asked to provide your e-mail address on the next page. Your e-mail will not be associated to your survey responses in order to remain anonymous.

Please enable JavaScript in your browser to complete this form.

Your name (optional)

Doula's full name *

First

Last

Rate your experience with your doula from 1-10

Selected Value: 0

(1 - very poor; 5 - fair; 10 - excellent)

Do you believe having a doula enhanced your birth experience? *

Yes
No
Somewhat
Don't know

If yes, how so? (select all that apply)

Continuity of care throughout pregnancy, labour and/or early postpartum
Unbiased information and choices for birthing and postpartum presented
Unique and experienced physical and/ or emotional support provided
Cultural support
Advocated for me when needed
Breastfeeding support
Resources and referrals provided
Encouragement of partner/family during pregnancy/postpartum
Other

If 'Other', how else did having a doula enhance your birth experience?

4. Do you feel content with the extent of doula services you received? (i.e. number of sessions/visits covered by the DAFGP) *

Yes
No
Somewhat
Don't know

If 'No' or 'Somewhat', how much additional support would you have liked to receive?

1-3 more prenatal visits
1-3 more postpartum visits
4-10 more postpartum visits
Other

If 'Other', how much additional support would you have liked to recieve?

5. Did you receive referrals to relevant community resources from your doula? *

Yes
No
Not applicable/not interested

6. Did you feel your doula provided culturally competent* and culturally safe** care? *

Yes
No
Somewhat
Don't know

*Cultural competence requires that providers demonstrate knowledge and behaviours that enable quality care to be provided to diverse peoples in a way that is sensitive to differences. **Cultural safety refers to what is felt or experienced by a patient when a provider communicates with the patient in a respectful and inclusive way, that empowers the patient in decision-making. It results in an environment free of racism and discrimination, where people feel safe when receiving health care.

7. Would you have sought the services of a doula if the DAFGP was not available to you? *

Yes
No
Maybe
Don't know

8. Would you recommend your doula? *

Yes
No
Maybe
Don't know

9. Please provide any suggestions you may have for how the DAFGP could better support families?

10. We welcome any additional comments or stories you would like to share with us about your care. For example, recall a time where you felt most supported…

Contact Us:

BC Association of Aboriginal Friendship Centres
551 Chatham St.
Victoria, BC
V8T 1E1

Phone: 1-250-388-5522
Fax: 1-250-388-5502

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