Birth Center Feedback Survey

Birth Center Feedback Survey
Please share your experience to help us improve our services. Your feedback is valuable and confidential.
Overall, how satisfied were you with your experience at the birth center?
Please rate the following aspects of your experience.
Rows Excellent Good Average Poor N/A
Friendliness of staff
Quality of care
Cleanliness of facilities
Communication and information
Comfort and environment
How likely are you to recommend our birth center to others?

0
1
2
3
4
5
6
7
8
9
10
0 is Not at all likely, 10 is Extremely likely
Which services did you use during your visit? (Select all that apply)
Other
How did you first hear about our birth center?
Was this your first experience at our birth center?
If there is one thing we could improve, what would it be?
Please share any additional comments or suggestions.
Should be Empty:

Select theme:

Rows	Excellent	Good	Average	Poor	N/A
Friendliness of staff
Quality of care
Cleanliness of facilities
Communication and information
Comfort and environment