Nurture Guide Feedback Form

NurtureLine 1300 622 243 (1300 MBABIES)
24hr family support helpline

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Confirmation Content

First Name *

Last Name *

Email *

Hospital *

At what gestation was your baby born? *

Under 25 weeks

Between 26-30 weeks

Between 31-36 weeks

37-39 weeks

40+ weeks

How many days after your baby being admitted to the Neonatal Unit did you receive your Nurture Guide Book (found in the NICU Survival Pack)? *

Do you find our Nurture Guide Book useful? *

Yes

If you responded with yes, explain why you found this book useful?

If you responded with no, explain why you don't find this book useful?

How likely are you to recommend our Nurture Guide Book to other families in the Neonatal Unit, on a scale of 1 to 5? *

1 - unlikely

5 - very likely

Would you like to see other information covered in our Nurture Guide Book? Please provide details below.

Please leave any general feedback here

Confirmation Content

Thank you for providing your feedback.

(1300 MBABIES)
24hr family support helpline

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