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Questionnaire template

New Mother Support Needs

Asks new mothers which early-parenting tasks are hard, who supports them and where they need more help.

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Questions in this template

Your Experience So Far

  1. Thank you for finding time for this short survey. Your answers help us offer the right support to new mothers in our community.

  2. How old is your baby?

    Choose one:

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

  3. How easy or difficult have you found each of these? (1 = very difficult, 5 = very easy)

    • Coping with lack of sleep
    • Feeding your baby
    • Working out what your baby needs
    • Emotional ups and downs
    • Fitting housework around caring for your baby

    For each row: choose one:

    • 1 - Very difficult
    • 2
    • 3
    • 4
    • 5 - Very easy
    • Does not apply

Your Support Network

  1. Who has supported you most since your baby arrived?

    Choose any that apply:

    • Partner
    • My parents
    • My partner's parents
    • Friends
    • Other relatives
    • Health professionals
    • No one

  2. How often do you get help from each of these?

    Condition: Shown when at least one source of support was selected

    • Partner
    • My parents
    • My partner's parents
    • Friends
    • Other relatives
    • Health professionals

    For each row: choose one:

    • Never
    • Rarely
    • Sometimes
    • Often
    • Very often

  3. How helpful has the support from each of these been? (1 = not at all helpful, 5 = extremely helpful)

    Condition: Shown when at least one source of support was selected

    • Partner
    • My parents
    • My partner's parents
    • Friends
    • Other relatives
    • Health professionals

    For each row: choose one:

    • 1 - Not at all helpful
    • 2
    • 3
    • 4
    • 5 - Extremely helpful
    • Not applicable

Looking Ahead

  1. In which of these areas would you like more support?

    Choose any that apply:

    • Working out what my baby needs
    • Emotional ups and downs
    • Fitting housework around baby care
    • Health advice
    • Feeding and nutrition
    • Sleep routines

  2. What kind of help would make the biggest difference in the areas you selected?

    Condition: Shown when at least one area was selected

    Open answer

  3. What is one thing you wish you had known before becoming a mother?

    Open answer