Important Information

Please Read Before Starting the Survey

  • This survey seeks to improve the transfer process of intended home or birth center births to hospitals. It is part of the Quality Improvement efforts of the Utah Department of Health.
  • The survey collects data on the birth transfer process.
  • Information collected may be used to improve the transfer process.
  • It takes about 6 minutes to answer all the questions.
  • Some questions may be sensitive.
  • You are free to do the survey or not. If you don't want to participate at all, or if you don't want to answer a particular question, that's okay. There is no penalty or loss of benefits for not participating or answering all questions.
  • If you choose to do the survey, your answers will be kept private and will be used only to answer questions related to the purpose of this study.
  • Completing the survey means you are giving your consent to participate
  • If you have any questions about your rights in the project, please call Navina Forsythe at (385) 222-0659.
  • If you have any questions about the project or would rather talk to someone about your experience, please send a note to uwnqc@utah.gov. You can also call (801) 273-2856.
Loading... Loading...
You have selected an option that triggers this survey to end right now. To save your responses and end the survey, click the button below to do so. If you have selected the wrong option by accident and do not wish to leave the survey, you may click the other button below to continue, which will also remove the value of the option you just selected to allow you to enter it again and continue the survey.
The response has now been removed for the last question for which you selected a value. You may now enter a new response for that question and continue the survey.