Questionnaire template
Early Motherhood Challenges
Poll of new mothers on preparedness, daily challenges, emotional wellbeing and support during the first months after birth.
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Questions in this template
Becoming a Mother
Thank you for sharing your experience of the first months with a new baby. Your answers will help shape better support for new mothers.
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Looking back, how prepared did you feel for the changes a new baby brought?
Choose one:
- Well prepared
- Somewhat prepared
- Not very prepared
- Not at all prepared
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During the first three months after the birth, how often did you feel overwhelmed?
Choose one:
- Never
- Rarely
- Sometimes
- Often
- Almost always
Day-to-Day Life
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How challenging have you found each of the following?
- Not getting enough sleep
- Feeding your baby (breast, bottle or both)
- Balancing your baby's needs with your own
- Recovering physically after the birth
For each row: choose one:
- 1 - Not at all challenging
- 2
- 3
- 4
- 5 - Extremely challenging
- Does not apply
Emotional Wellbeing
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Since your baby was born, have you had a low or sad mood that lasted most days for two weeks or more?
Choose one:
- Yes
- No
- Not sure
This poll cannot assess your health. If you are struggling with your mood, please talk to your doctor, midwife or health visitor; help is available.
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If you are comfortable doing so, tell us a little more about how you have been feeling. (optional)
Condition: Shown to those who answered Yes or Not sure
Open answer
Your Support Network
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Who has given you the most support since the birth?
Choose any that apply:
- My partner
- Family members
- Friends
- Health professionals
- Other parents or support groups
- No one
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Is there anything you would like to say about the support you received from them? (optional)
Condition: Shown when at least one source of support was chosen
Open answer
Final Thoughts
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What would have made the early months of motherhood easier for you?
Open answer