040-2553975

Client survey

We, midwives of PUUR Midwifery Centre Veldhoven, have guided you and your partner during pregnancy, childbirth and postnatal period. We want to tailor our care as much as possible to the wishes and needs of our clients. The opinion of you as a client about our practice is very decisive for this. By means of this evaluation form we would like to ask you what you thought of the care provided in our practice and what you think could be improved.

We would very much appreciate it if you would fill out this survey. It will take about 10 minutes of your time. You can choose whether you want to fill in the questions anonymously or not.


    Client survey


    General practitionerGynaecologistInternetFamily, friends or acquaintances

    Practice


    Completely agreeAgreeDisagreeCompletely disagreeIrrelevant

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    Completely agreeAgreeDisagreeCompletely disagreeIrrelevant

    Pregnancy


    Completely agreeAgreeDisagreeCompletely disagreeIrrelevant

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    Completely agreeAgreeDisagreeCompletely disagreeIrrelevant

    Completely agreeAgreeDisagreeCompletely disagreeIrrelevant

    Completely agreeAgreeDisagreeCompletely disagreeIrrelevant

    Childbirth


    Completely agreeAgreeDisagreeCompletely disagreeIrrelevant

    Completely agreeAgreeDisagreeCompletely disagreeIrrelevant

    Completely agreeAgreeDisagreeCompletely disagreeIrrelevant

    Postnatal care


    Completely agreeAgreeDisagreeCompletely disagreeIrrelevant

    Completely agreeAgreeDisagreeCompletely disagreeIrrelevant

    General


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    YesDoubtNo



    YesNo

    JannekeMalouArlaineNicoleMoniqueMichelle

    Write your contact details here. The survey may also be sent anonymously






    Thank you