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Pain Relief in Labour Survey
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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1
Which age range do you belong to?
Select the appropriate age range.
Under 20
20-30
30-40
40 and above
2
How would you rate the effectiveness of pain relief methods you used during labour?
Rate the effectiveness on a scale of 1 to 10.
3
Which of the following pain relief methods did you find most helpful during labour?
Select all that apply.
Breathing techniques
Epidural
Massage
TENS machine
Water birth
Hypnobirthing
Other
4
How likely are you to recommend the pain relief method you found most helpful to other mothers?
Rate your likelihood on a scale of 1 to 10.
5
Did you experience any side effects from the pain relief methods used during labour?
If yes, please specify in the next question.
Yes
No
6
If you experienced side effects, please specify.
Enter any side effects you experienced.
7
Were you satisfied with the support provided by healthcare professionals during labour?
Rate your satisfaction on a scale of 1 to 10.
8
How well-informed did you feel about pain relief options before going into labour?
Rate your level of information on a scale of 1 to 10.
9
Would you have preferred more information on pain relief options before labour?
Select your preference.
Yes
No
Not sure
10
Do you have any additional comments or suggestions regarding pain relief in labour?
Feel free to share any thoughts or suggestions.
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