Miscarriage/Loss Support Kit Feedback Form

We are so sorry for your loss and hope the support kit you received provided some comfort during this difficult time. Your feedback helps us improve the resources we provide to families like yours. Please take a few moments to share your experience with us.

1. How did you receive the Miscarriage/Loss Support Kit?

Through my GP

At the hospital

A friend/family member gave it to me

Other (please specify)

If other, please explain:

2. What treatment pathway did you follow after your loss?

Hospital

General Practitioner (GP)

Specialist Clinic

Other (please specify)

If other, please explain:

3. Were you made aware of any support services by your GP or hospital staff after your loss?

Yes

No

Not sure

4. Did you access any of the services recommended in the support kit? (Select all that apply)

If other, please explain:

5. Did you find the information provided in the kit helpful for navigating your grief or accessing services?

Yes, it was very helpful

Somewhat helpful

Not very helpful

Not at all helpful

6. What was the most valuable item or resource included in the kit for you? (Choose one or more)

If other, please explain:

7. Was there any specific support or resource you needed but didn’t find in the kit?

Yes (please specify)

No

If other, please explain:

8. Did the kit make you feel supported during your experience?

Yes, I felt very supported

Somewhat supported

Not supported

Other (please specify)

If other, please explain:

9. Would you recommend our Miscarriage/Loss Support Kit to others going through a similar experience?

Yes

No

Not sure

10. Is there anything else you’d like to share about your experience, the kit, or suggestions for improvement?

Thank you so much for taking the time to share your feedback with us. Your input is incredibly valuable and helps us continue to provide meaningful support to families experiencing loss.