Skip to content
Askalot

← All Other templates

Questionnaire template

First-Time Mothers Experience Survey

Asks first-time mothers about birth preparation, confidence with baby care, support, well-being and information needs.

Preview

Other · Motherhood. All Other templates

Questions in this template

About You and Your Baby

  1. Congratulations on your baby. This survey asks about your first months as a mother so that services can better support new parents. You can skip any question you prefer not to answer.

  2. How old is your baby now?

    Choose one:

    • Under 1 month
    • 1 to 3 months
    • 4 to 6 months
    • 7 to 12 months
    • Over 12 months

  3. What is your age?

    Choose one:

    • Under 20
    • 20–24
    • 25–29
    • 30–34
    • 35–39
    • 40 or older
    • Prefer not to say

  4. Does a partner or co-parent live with you and your baby?

    Choose one:

    • Yes
    • No
    • Prefer not to say

Preparing for Birth

  1. Did you go to any antenatal or parenting classes before your baby was born?

    Choose one:

    • Yes
    • No

  2. How useful were those classes once your baby arrived?

    Condition: Shown to mothers who attended classes

    Choose one:

    • Very useful
    • Somewhat useful
    • Not very useful
    • Not at all useful

  3. Looking back, how prepared did you feel for life with a newborn?

    Choose one:

    • Very prepared
    • Fairly prepared
    • Not very prepared
    • Not at all prepared

The Early Weeks

  1. How is your baby mainly fed at the moment?

    Choose one:

    • Breast milk only
    • Formula only
    • Both breast milk and formula
    • Solid food has been introduced

  2. How confident do you feel about each of these?

    • Feeding your baby
    • Getting your baby to sleep
    • Calming your baby when they cry
    • Bathing your baby
    • Knowing when your baby is unwell

    For each row: choose one:

    • Not at all confident
    • Slightly confident
    • Fairly confident
    • Very confident

  3. What has been the hardest part of the first weeks with your baby?

    Open answer

Support and Well-being

  1. Who do you turn to for practical or emotional support? Select all that apply.

    Choose any that apply:

    • Partner
    • Family
    • Friends
    • Other parents
    • Midwife or health visitor
    • Online parenting groups
    • Other
    • No one at the moment

  2. Is the support you get enough for your needs?

    Choose one:

    • More than enough
    • About right
    • Not enough

  3. In the past two weeks, how often have you felt overwhelmed?

    Choose one:

    • Never
    • Rarely
    • Sometimes
    • Often
    • Almost always

  4. In the past two weeks, how often have you managed to get as much rest as you need?

    Choose one:

    • Never
    • Rarely
    • Sometimes
    • Often
    • Almost always

  5. These questions are not a health assessment. If you often feel low, anxious or unable to cope, please talk to your midwife, health visitor or doctor.

Information Needs

  1. On which topics would you like more information or advice? Select all that apply.

    Choose any that apply:

    • Feeding
    • Sleep
    • How babies develop
    • My own physical recovery
    • My emotional well-being
    • Going back to work
    • Childcare options
    • Other

  2. What other topic would you like information on?

    Condition: Shown when Other is selected

    Open answer

  3. What one piece of advice would you give to someone about to become a mother for the first time?

    Open answer