Post - Postnatal Group Consultation Evaluation Form

Name

Did you feel well supported by the healthcare team?

Did this give you better access & time with the healthcare team? (where 5 = same access & time, so please rate above 5 if more access & time)

How satisfied are you with the group consultation?

Would you recommend this type of consultation to other parents?

What was particularly good about the group consultation?

What could be improved for next time?

Do you have any other comments?

Please complete these questionnaires to help us evaluate the impact of the group consultation.

Patient Activation Measure® (PAM®) 13 Please indicate how much you agree or disagree with each statement as it applies to you personally by circling your answer.

I am confident that I can tell whether I need to go to the doctor or whether I can take care of a health problem myself.

I am confident that I can maintain lifestyle changes, like healthy eating and exercising, even during times of stress.

Parenting confidence survey-please tick which statement best describes how you feel:

I am confident about feeding my baby

I can settle my baby


Yes - most of the time
Yes - some of the time
No - not very often
No - hardly ever

I am confident about helping my baby to establish a good sleep routine


Yes - most of the time
Yes - some of the time
No - not very often
No - hardly ever

I know what to do when my baby cries


Yes - most of the time
Yes - some of the time
No - not very often

I understand what my baby is trying to tell me


Yes - most of the time
Yes - some of the time
No - not very often
No - hardly ever

I can soothe my baby when he/she is distressed


Yes - most of the time
Yes - some of the time
No - not very often
No - hardly ever

I am confident about playing with my baby


Yes - most of the time
Yes - some of the time
No - not very often
No - hardly ever

If my baby has a cold or slight fever, I am confident about handling this


Yes - most of the time
Yes - some of the time
No - not very often
No - hardly ever

I feel sure that my partner will be there for me when I need support

I am confident that my baby is doing well


Yes - most of the time
Yes - some of the time
No - not very often
No - hardly ever

I can make decisions about the care of my baby


Yes - most of the time
Yes - some of the time
No - not very often
No - hardly ever

Being a mother/father is very stressful for me


Yes - most of the time
Yes - some of the time
No - not very often
No - hardly ever

I feel I am doing a good job as a mother/father


Yes - most of the time
Yes - some of the time
No - not very often
No - hardly ever

Other people think I am doing a good job as a mother/father


Yes - most of the time
Yes - some of the time
No - not very often
No - hardly ever

I feel sure that people will be there for me when I need support


Yes - most of the time
Yes - some of the time
No - not very often
No - hardly ever

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