Nurse survey Question Title * 1. In what type of health care do you work? (Please check any that apply) Pediatrics Obstetrics Medi/Surg Emergency Doctors office Midwifery Psych unit Physical Rehab Geriatrics Other (Please define below) OB/GYN Pediatrician Neonatologist Not practicing at this time Retired Specialist (please print type of specialist in comment area) Comment Question Title * 2. Have you ever counseled a patient who was experiencing a miscarriage? No Yes; about how many patients? Question Title * 3. Have you ever counseled a patient who was experiencing a stillbirth? No Yes; about how many patients? Question Title * 4. Have you been present at a stillbirth delivery? No Yes; about how many? Question Title * 5. Have you been present at a miscarriage delivery? No Yes; how many times? Question Title * 6. Have you assisted during a D & C surgery for a woman experiencing a pregnancy loss? Yes No Comment Question Title * 7. Do you feel you were given enough information in your medical training concerning pregnancy loss? (Check and that apply) No, not concerning stillbirth No, not concerning miscarriage Yes, concerning stillbirth Yes, concerning miscarriage Comment Question Title * 8. In dealing with stillbirth, how would you rate the emotional energy it takes for you, as a nurse? Easily Exhausting Easily Exhausting Comment Question Title * 9. In dealing with miscarriage birth, how would you rate the emotional energy it takes for you, as a nurse? Easily Exhausting Easily Exhausting Comment Question Title * 10. Do you feel that you were well trained to serve patients experiencing a STILLBIRTH delivery to deal with the emotional and physical effects of the delivery? Yes No Comment Question Title * 11. Do you feel that you were well trained to serve patients who are experiencing a MISCARRIAGE delivery to deal with the emotional and physical effects of the delivery? to Yes No Comment Question Title * 12. Do you feel that you were well trained to serve patients who are experiencing a pregnancy loss with a D & C surgery deal with the emotional and physical effects of their loss? Yes No Comment Question Title * 13. If your patients choose to miscarry at home, do you spend time preparing them for the physical events that happen during a miscarriage? Yes No Other Question Title * 14. Have you received training in how to help parents make memories with their baby? No Yes (Please comment below) on what memories you help parents make with their baby) Comment Question Title * 15. Have you received training in the handling of a stillborn or miscarried baby? Yes No Comment Next