Parent Feedback Survey

Question Title

* 1. Please tell us what your relationship is to the baby

Mummy

Daddy

Brother/Sister

Grandparent

Auntie/Uncle

Friend

Guardian

Other (please specify)

Question Title

* 2. Name of unit (please complete 1 survey per unit)

Addenbrookes

Basildon

Bedford

Broomfield

Colchester

Hinchingbrooke

Harlow

Ipswich

James Paget

Kings Lynn

Lister

Luton and Dunstable

Norfolk and Norwich

Peterborough

Southend

Watford

West Suffolk

Question Title

* 3. How long did your baby stay on the unit (weeks)?

Question Title

* 4. Level of care received? (please tick all that apply)

Intensive Care (IC)

High Dependency (HD)

Special Care (SC)

Transitional Care (TC)

Unsure

Question Title

* 5. Did you have to wait to get into the unit?

Yes-(door buzzer, happy with system)

Yes-(door buzzer, had to wait too long)

No-(card system for entry in place)

No-(fingerprint system in place)

Other entry system. Please state if this was a positive or negative experience.

Question Title

* 6. Did you always feel welcome on the unit?

Always

Usually

Sometimes

Rarely

Never

Can you please explain?

Question Title

* 7. Did you feel included in the discussions about your baby with health professionals? (tick all that apply)

Yes-Included in ward round

Yes-Staff asked me and listened to my point of view

Yes-I felt included in making decisions

Yes-I felt included in daily care planning

No-I had to fit in with the plan and had no say. Please explain

Question Title

* 8. What helped you feel included in discussions about your baby?

Question Title

* 9. Was the information and support about your baby's care given to you in a way you could understand? (tick all that apply)

Yes

No-It was written in a different language to my first language

No-I didn't understand the words used

Other (please specify)

Question Title

* 10. Did you feel that you were updated in a timely manner?

Yes

Sometimes

Question Title

* 11. When did you feel able to parent your baby? (e.g: pick up, feed, change, weigh...)

From the beginning

When confident to

When baby was clinically stable

Not on the unit I did not know I could/did not feel supported

Please explain

Question Title

* 12. What would you like to have been taught, whilst on the unit?

Question Title

* 13. Did you know how to access emotional support for you and your family?

Yes

Please explain why

Question Title

* 14. Were you given information about feeding options?

Yes

Please explain why

Question Title

* 15. Did you feel supported with your feeding choices?

Yes

please explain how

Question Title

* 16. Were you ever asked to leave your baby?

Yes

If yes please explain why and how often

Question Title

* 17. Did you have any food provided for you during your baby's neonatal stay? (tick all that apply)

Yes-When staying in hospital accommodation

Yes-on the unit

Yes-went to canteen with vouchers for a discount

Yes-Food was provided in another ward

Yes-went to the canteen for free meals

Other (please specify)

Question Title

* 18. When were you informed of the free parking?

Day 1

Day 2

Within the first week

Never

Free parking not available

Other (please specify)

Question Title

* 19. Were you able to stay overnight with your baby when you wanted to?

Yes

I was unaware that I could

If no please explain why

Question Title

* 20. Did you feel supported and ready to take your baby home?

Yes

please explain why

Question Title

* 21. Would it have been helpful to have a checklist of questions/frequently asked questions to prompt you at discharge?

Yes

Please explain why

Question Title

* 22. Can you tell us about something the unit did well

Question Title

* 23. Can you tell us about something the the unit could have done better

Question Title

* 24. Is there anything else you would like to tell us about your experience?

Question Title

* 25. Overall how happy are you with the care you received on the unit?

0-Not Happy

5-Neutral

10-Very Happy

Clear

i We adjusted the number you entered based on the slider’s scale.

Question Title

* 26. Which is your first language? (The next set of questions are to help develop the service for groups that are not represented well on the units. We want to hear everyone's voice)

Question Title

* 27. What is your ethnic group?

White

Welsh/English/Scottish/Northern Irish/British

Irish

Gypsy or Irish Traveller

Mixed

White and Black Caribbean

White and Black African

White and Asian

Asian or Asian British

Indian

Pakistani

Bangladeshi

Chinese

Black or Black British

Caribbean

African

Arab

Prefer not to say

Any other/If more than 1 apply, please write in the box below.

Question Title

* 28. What is your religion?

No religion

Christian

Buddhist

Hindu

Jewish

Muslim

Sikh

Prefer not to say

Other (please specify)

Question Title

* 29. What is your gender?

Female

Male

Non binary

Prefer not to say

Question Title

* 30. Is your gender identity the same gender you were assigned at birth?

Yes

Prefer not to say

Question Title

* 31. What age group are you?

Under 18

18-24

25-34

35-44

45-54

55-64

65+

Prefer not to say

Question Title

* 32. Which of the following terms best describes your sexual orientation?

Hetrosexual/straight

Lesbian/gay

Bisexual

Prefer not to say

Other (please specify)

Question Title

* 33. What is your marital status?

Single

Married

Living with partner

In a relationship

Widowed/widower

Prefer not to say

Question Title

* 34. Do you consider yourself to have a disability?

Yes

Prefer not to say

If you answered yes, was there anything the unit could have done to make your experience better in view of your disability for you and your family?

Question Title

* 35. If you are willing to be involved in further developments from this survey, please leave your email in the box below. Updates from this survey will be published on the ODN website http://www.eoeneonatalpccsicnetwork.nhs.uk/

Parent Feedback

Question Title

* 1. Please tell us what your relationship is to the baby

Question Title

* 2. Name of unit (please complete 1 survey per unit)

Question Title

* 3. How long did your baby stay on the unit (weeks)?

Question Title

* 4. Level of care received? (please tick all that apply)

Question Title

* 5. Did you have to wait to get into the unit?

Question Title

* 6. Did you always feel welcome on the unit?

Question Title

* 7. Did you feel included in the discussions about your baby with health professionals? (tick all that apply)

Question Title

* 8. What helped you feel included in discussions about your baby?

Question Title

* 9. Was the information and support about your baby's care given to you in a way you could understand? (tick all that apply)

Question Title

* 10. Did you feel that you were updated in a timely manner?

Question Title

* 11. When did you feel able to parent your baby? (e.g: pick up, feed, change, weigh...)

Question Title

* 12. What would you like to have been taught, whilst on the unit?

Question Title

* 13. Did you know how to access emotional support for you and your family?

Question Title

* 14. Were you given information about feeding options?

Question Title

* 15. Did you feel supported with your feeding choices?

Question Title

* 16. Were you ever asked to leave your baby?

Question Title

* 17. Did you have any food provided for you during your baby's neonatal stay? (tick all that apply)

Question Title

* 18. When were you informed of the free parking?

Question Title

* 19. Were you able to stay overnight with your baby when you wanted to?

Question Title

* 20. Did you feel supported and ready to take your baby home?

Question Title

* 21. Would it have been helpful to have a checklist of questions/frequently asked questions to prompt you at discharge?

Question Title

* 22. Can you tell us about something the unit did well

Question Title

* 23. Can you tell us about something the the unit could have done better

Question Title

* 24. Is there anything else you would like to tell us about your experience?

Question Title

* 25. Overall how happy are you with the care you received on the unit?

Question Title

* 26. Which is your first language? (The next set of questions are to help develop the service for groups that are not represented well on the units. We want to hear everyone's voice)

Question Title

* 27. What is your ethnic group?

Question Title

* 28. What is your religion?

Question Title

* 29. What is your gender?

Question Title

* 30. Is your gender identity the same gender you were assigned at birth?

Question Title

* 31. What age group are you?

Question Title

* 32. Which of the following terms best describes your sexual orientation?

Question Title

* 33. What is your marital status?

Question Title

* 34. Do you consider yourself to have a disability?

Question Title

* 35. If you are willing to be involved in further developments from this survey, please leave your email in the box below. Updates from this survey will be published on the ODN website http://www.eoeneonatalpccsicnetwork.nhs.uk/

Question Title

* 36. How did you hear about this questionnaire?