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* 1. I am

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* 2. How many children do you have

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* 3. What are the 3 most important factors for you when considering where you choose to have your baby?

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* 4. How old are you

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* 5. Do you have any other health issues that influenced your decision 'where to have your baby'?

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* 6. There are different ways that we could care for pregnant women.  Which are the following statements best reflects how you would like to be cared for?  Please choose one answer

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* 7. Please tell us why you made this choice

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* 8. Please describe what matters to you most about your pregnancy and birth experience

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* 9. Where do you live

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* 10. Would you like to leave your contact details for marketing and research purposes?

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