MISS x SMCT Survey

Southern Metropolitan Cemeteries Trust Miscarriage Experience Survey

Miscarriage Information Support Services (MISS) is supporting Southern Metropolitan Cemeteries Trust (SMCT) in gathering insights about the miscarriage experience (the loss of pregnancy prior to 20 weeks), and the benefits of commemoration. We are hoping to get community feedback and are seeking your valuable input. Our condolences for your loss.

The following short survey will take 5-10 minutes to complete. All responses and contact information will be kept strictly confidential.

We would love this survey to be far reaching and include as many communities as possible. Please feel free to share this link with friends and family. This survey will close Saturday, 1 July, 2023 at 5pm.

If you have any further questions or comments please contact community@smct.org.au

If you would like any support resources or information about miscarriage, please contact MISS at info@miss.org.au

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* 1. What is your age?

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* 2. What is your sex? (Please skip if you'd prefer not to say)

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* 3. What is your gender? (Please skip if you'd prefer not to say)

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* 4. What is your postcode?

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* 5. Which of these statements best describes your experience with early pregnancy loss?

I have had a miscarriage/s (physically)

I am the partner/spouse of someone who has had a miscarriage/s

I am a family member of someone who has had a miscarriage/s

I am the friend/loved one of someone who has had a miscarriage/s

Other (please specify)

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* 6. National Miscarriage Awareness Day is held in Australia each year on the first Sunday in May (one week prior to Mother's Day). This is a remembrance day for anyone who has been impacted by miscarriage. This year this day is on Sunday 7th May.

Do you commemorate National Miscarriage Awareness Day?

Yes

Not sure

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* 7. Do you think you might wish to commemorate National Miscarriage Awareness Day in the future?

Yes

Not sure

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* 8. Which of the following ways to commemorate a miscarriage would be most meaningful for you and your loved ones? Please rate each statement with 1 being the most meaningful at the top of the list and 7 being least meaningful at the bottom of the list.

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* 9. Do you believe the public have some misconceptions regarding miscarriage?

Yes

N/A

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* 10. If so, please tell us about those misconceptions.

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* 11. Please share any other comments you have below:

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* 12. If you would like to receive future updates from SMCT regarding miscarriage memorialisation, please fill in your name and email below. (We will keep all personal information and responses confidential).

Name

Email Address