Client satisfaction forms? anyone? Also, my checklists

[Maggi315]

Hi,
Months ago, i discussed doing checklists for supplies to take to visits, births, etc. I also was planning on doing checklists for each of the visits, labs, and postpartum visits.

I am happy to report that finally, after much procrastination, I am finished. I intend to upload these to my website today with the help of my teens, so I will update with a link later.

anyone else have these? I'd still love to see others, get more ideas, samples, etc.

And last question: I want to give a satisfaction form out to each client after the birth and postpartum. I have one from DONA I used when i was a doula, and the midwife I apprenticed with has one, but I need to develop my own, anyone have one they would be able to share? what questions do you ask? Do you use a 1-10 scale? Open ended? other?

thanks,

[Sarahfina]

I'm also curious to see what others have created for a feedback form....

[beaches1098]

I would love to see what others do. I have one that I used from another doula and have sinced stopped and want to make up my own.

[MsBlack]

I have created a postpartum client opinion survey. It is a mix of directed questions with 'rate me from 1-5', and room to write comments. It's 3 pages--pg1 is prenatal, pg2 is labor/birth, pg3 is postpartum care. Each area has about 10 'rate me' questions. At the end, I ask a couple of yes/no questions: is my fee fair for what i provide, would you hire me again, would you rec. me to your fam/friends.

I get about 1/2 who actually fill out and return them. Often there are praiseful comments, sometimes suggestions/critique. Sometimes just the 'rate me' part is filled out w/no comment. They can put their name on it or not--and when I give it to them, I tell them that even tho I might be able to figure out who it is, if they don't put their name on it then I will assume they would prefer not to discuss it later. Sometimes they do put their name on it, and this has led to some helpful discussions (for both of us, I think).

I give it to them at 6wk pp visit and tell them that there is no hurry but I hope they'll someday find the time, that their feedback is helpful to me.

I am happy to share it--how would I do that? Can I send an attachment here, or do I have to do copy/paste, or only send it to individuals?

[iemaja]

Originally Posted by MsBlack

I am happy to share it--how would I do that? Can I send an attachment here, or do I have to do copy/paste, or only send it to individuals?

I'm a doula and I'm creating one right now, and I've been a little lost as far as where to start...you've provided some really helpful ideas. I would love to see your questionnaire you've created! If you could email it, I would be really grateful! allyson at bluemoonconnections dot com Many thanks!!!

[iemaja]

:

Originally Posted by Maggi315

And last question: I want to give a satisfaction form out to each client after the birth and postpartum. I have one from DONA I used when i was a doula, and the midwife I apprenticed with has one, but I need to develop my own, anyone have one they would be able to share? what questions do you ask? Do you use a 1-10 scale? Open ended? other? thanks,

Hi there, I'm so glad you asked this question....I've had quite a bit of training in developing evaluations...though, I must admit, now that I'm creating one for my doula clients I'm finding it more challenging than I anticipated. One piece of advice I have for you is to mix up the questions - ask some yes/no, some Likert scale (rating), some that require more explanation, etc.

If you choose to create questions that use the Likert scale rating (for example, 1 to 10 with 10 being the best) then I would encourage you to make the scale 1 to 4 instead.

Example:
In your opinion, your doula stayed an adequete amount of time after your birth. 1- Disagree 2-Somewhat Disagree 3-Somewhat agree 4-Agree

Then the client will be forced to pick one side of the other...if you provided a middle option, then the person taking the questionnaire will be most likely to go straight down the middle.

Well I wish you luck! :

[MsBlack]

Interesting about the scale you suggest and the reason for that....

My rating scale is based on 5--1 being 'best rating', 5 is 'worst rating'. I agree, 10 is too much to choose from. But I chose 5 because I wanted ppl to avoid the middle ground. Who knows what actually goes through their heads, but I have seldom gotten a rating of 3 (fair--middle ground) on anything. And in that case, it was only 1 of the answers out of about 25 total.