Enhancing Prenatal Care Access: Community Feedback Survey

Dear Participant,

Thank you for your interest in participating in our anonymous survey. Before you start the survey, please take a moment to read and understand the following information:

Purpose: This survey is designed by the Dutchess County Department of Behavioral and Community Health to identify reasons that people may not be receiving the healthcare they need during pregnancy. It is not being conducted for research purposes.

Confidentiality: Your participation in this survey is entirely voluntary and anonymous. We will not collect any personally identifiable information, and your responses will be kept confidential.

Data Usage: The information collected will be used solely for the purpose stated above and will not be shared with any third parties. We will look at everyone's answers together to help make accessing prenatal care easier for Dutchess County residents.

Time Commitment: The survey should take approximately 5 – 10 minutes to complete.

Participation Agreement: By proceeding with the survey, you acknowledge that you have read and understood the information provided. Your participation is entirely voluntary, and you can stop filling out the survey at any time.

Thank you for your participation!

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* 1. Do you usually go to the doctor for regular check-ups to stay healthy?

Yes

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* 2. Have you ever had trouble finding a doctor or getting to an appointment because of any of the following issues? Please select all that apply.

I had trouble finding transportation.

I had trouble finding childcare.

I didn’t have health insurance.

I had health insurance, but I couldn’t find a doctor that accepted my health insurance.

The doctor, hospital, or clinic was too far from where I live.

I have never had any trouble finding a doctor or getting an appointment.

Another reason. Please write in:

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* 3. Have you ever had a bad experience with the healthcare system or a healthcare worker that made you not want to go to the doctor?

Yes

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* 4. Prenatal care is important.

Strongly agree

Agree

Neither agree nor disagree

Disagree

Strongly disagree

I don’t know what prenatal care is

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* 5. If you needed to see a doctor for pregnancy care and didn't have a doctor or needed to find a new doctor, where would you start looking first?

Talk to my primary care doctor

Ask a friend or family member

Internet search

I don't know how I would find a doctor

Other (please specify)

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* 6. If you have ever been pregnant, did you know what prenatal care is?

Yes

I have never been pregnant.

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* 7. If you have ever been pregnant, did you know where you could go to get prenatal care?

Yes

I have never been pregnant.

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* 8. If you have ever been pregnant, did you have a supportive person in your life during your pregnancy? Examples of this could include the father of the child, a family member, or close friend.

Yes

I have never been pregnant.

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* 9. What do you think is the most important reason for a pregnant person to get prenatal care?

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* 10. What city or town do you live in? Please write in:

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* 11. If you know your ZIP code, please write in:

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* 12. What country were you born in? Please write in:

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* 13. What is your age, in years, today? Please write in:

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* 14. What is your gender? Please write in:

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* 15. What race/ethnicity do you identify as? Please write in:

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* 16. What is your primary language?

English

Spanish

Other (please specify)

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* 17. What is your highest level of education?

Less than high school

High school diploma/GED

College degree or higher