{"id":834,"date":"2019-07-22T13:40:10","date_gmt":"2019-07-22T13:40:10","guid":{"rendered":"https:\/\/verloskundigendora.appec.nl\/?page_id=834"},"modified":"2023-04-12T13:50:33","modified_gmt":"2023-04-12T13:50:33","slug":"evaluatieformulier","status":"publish","type":"page","link":"https:\/\/verloskundigendora.nl\/en\/evaluatieformulier\/","title":{"rendered":"Evaluation form"},"content":{"rendered":"<p><\/p>\n<h1>Evaluation form<\/h1>\n<p>As we strive to provide high-quality care, we are constantly exploring ways to improve the quality of our practice. Your opinion is incredibly important in this regard. Therefore, we would like to ask you to fill out this survey.<\/p>\n<p>\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f835-o2\" lang=\"nl-NL\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/834#wpcf7-f835-o2\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contactformulier\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"835\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.7.5.1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"nl_NL\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f835-o2\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<p><strong>How was the guidance of the midwives?<\/strong>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-1\"><textarea cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Type your answer here...\" name=\"textarea-1\"><\/textarea><\/span>\n<\/p>\n<p><strong>What are the strengths? What are the weaknesses? <\/strong>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-2\"><textarea cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Type your answer here...\" name=\"textarea-2\"><\/textarea><\/span>\n<\/p>\n<p><strong>What did you think of the appointments\/check-ups? What are the good things that we should keep? What are areas that you think need improvement? <\/strong>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-3\"><textarea cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Type your answer here...\" name=\"textarea-3\"><\/textarea><\/span>\n<\/p>\n<p><strong>Were you always able to go to the midwives or assistants with your questions? Can you give an example? <\/strong>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-4\"><textarea cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Type your answer here...\" name=\"textarea-4\"><\/textarea><\/span>\n<\/p>\n<p><strong>How was the approach of the assistants on the phone and during consultations? <\/strong>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-5\"><textarea cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Type your answer here...\" name=\"textarea-5\"><\/textarea><\/span>\n<\/p>\n<p><strong>What additional information would you have liked to receive during pregnancy, childbirth, or postpartum? <\/strong>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-6\"><textarea cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Type your answer here...\" name=\"textarea-6\"><\/textarea><\/span>\n<\/p>\n<p><strong>What do you think of the website?<\/strong>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-6\"><textarea cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Type your answer here...\" name=\"textarea-6\"><\/textarea><\/span>\n<\/p>\n<p><strong>The practice is easily accessible (also for strollers and wheelchairs). <\/strong>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-1\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-1\" value=\"Strongly agree\" \/><span class=\"wpcf7-list-item-label\">Strongly agree<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-1\" value=\"Agree\" \/><span class=\"wpcf7-list-item-label\">Agree<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-1\" value=\"Neutral\" \/><span class=\"wpcf7-list-item-label\">Neutral<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-1\" value=\"Disagree\" \/><span class=\"wpcf7-list-item-label\">Disagree<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-1\" value=\"Strongly disagree\" \/><span class=\"wpcf7-list-item-label\">Strongly disagree<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><strong>The practice looked tidy and clean<\/strong>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-2\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-2\" value=\"Strongly agree\" \/><span class=\"wpcf7-list-item-label\">Strongly agree<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-2\" value=\"Agree\" \/><span class=\"wpcf7-list-item-label\">Agree<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-2\" value=\"Neutral\" \/><span class=\"wpcf7-list-item-label\">Neutral<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-2\" value=\"Disagree\" \/><span class=\"wpcf7-list-item-label\">Disagree<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-2\" value=\"Strongly disagree\" \/><span class=\"wpcf7-list-item-label\">Strongly disagree<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><strong>I could usually make an appointment at a suitable time for me<\/strong>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-3\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-3\" value=\"Strongly agree\" \/><span class=\"wpcf7-list-item-label\">Strongly agree<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-3\" value=\"Agree\" \/><span class=\"wpcf7-list-item-label\">Agree<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-3\" value=\"Neutral\" \/><span class=\"wpcf7-list-item-label\">Neutral<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-3\" value=\"Disagree\" \/><span class=\"wpcf7-list-item-label\">Disagree<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-3\" value=\"Strongly disagree\" \/><span class=\"wpcf7-list-item-label\">Strongly disagree<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><strong>I could easily reach the midwives or the assistant by phone<\/strong>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-4\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-4\" value=\"Strongly agree\" \/><span class=\"wpcf7-list-item-label\">Strongly agree<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-4\" value=\"Agree\" \/><span class=\"wpcf7-list-item-label\">Agree<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-4\" value=\"Neutral\" \/><span class=\"wpcf7-list-item-label\">Neutral<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-4\" value=\"Disagree\" \/><span class=\"wpcf7-list-item-label\">Disagree<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-4\" value=\"Strongly disagree\" \/><span class=\"wpcf7-list-item-label\">Strongly disagree<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><strong>I felt supported by the midwife when faced with (difficult) decisions about pregnancy, childbirth, and the baby<\/strong>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-5\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-5\" value=\"Strongly agree\" \/><span class=\"wpcf7-list-item-label\">Strongly agree<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-5\" value=\"Agree\" \/><span class=\"wpcf7-list-item-label\">Agree<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-5\" value=\"Neutral\" \/><span class=\"wpcf7-list-item-label\">Neutral<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-5\" value=\"Disagree\" \/><span class=\"wpcf7-list-item-label\">Disagree<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-5\" value=\"Strongly disagree\" \/><span class=\"wpcf7-list-item-label\">Strongly disagree<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><strong>The midwife involved my partner and, if applicable, my children well in the pregnancy, childbirth, and postpartum period<\/strong>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-6\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-6\" value=\"Strongly agree\" \/><span class=\"wpcf7-list-item-label\">Strongly agree<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-6\" value=\"Agree\" \/><span class=\"wpcf7-list-item-label\">Agree<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-6\" value=\"Neutral\" \/><span class=\"wpcf7-list-item-label\">Neutral<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-6\" value=\"Disagree\" \/><span class=\"wpcf7-list-item-label\">Disagree<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-6\" value=\"Strongly disagree\" \/><span class=\"wpcf7-list-item-label\">Strongly disagree<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><strong>I thought the midwife made the right decision at the right time<\/strong>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-7\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-7\" value=\"Strongly agree\" \/><span class=\"wpcf7-list-item-label\">Strongly agree<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-7\" value=\"Agree\" \/><span class=\"wpcf7-list-item-label\">Agree<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-7\" value=\"Neutral\" \/><span class=\"wpcf7-list-item-label\">Neutral<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-7\" value=\"Disagree\" \/><span class=\"wpcf7-list-item-label\">Disagree<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-7\" value=\"Strongly disagree\" \/><span class=\"wpcf7-list-item-label\">Strongly disagree<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><strong>The midwives were consistent in their advice and actions<\/strong>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-8\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-8\" value=\"Strongly agree\" \/><span class=\"wpcf7-list-item-label\">Strongly agree<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-8\" value=\"Agree\" \/><span class=\"wpcf7-list-item-label\">Agree<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-8\" value=\"Neutral\" \/><span class=\"wpcf7-list-item-label\">Neutral<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-8\" value=\"Disagree\" \/><span class=\"wpcf7-list-item-label\">Disagree<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-8\" value=\"Strongly disagree\" \/><span class=\"wpcf7-list-item-label\">Strongly disagree<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><strong>Did you receive good help and care from the midwife during childbirth?<\/strong>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-7\"><textarea cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Type your answer here...\" name=\"textarea-7\"><\/textarea><\/span>\n<\/p>\n<p><strong>How was the postpartum care?<\/strong>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-8\"><textarea cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Type your answer here...\" name=\"textarea-8\"><\/textarea><\/span>\n<\/p>\n<p><strong>What do you like about the practice?<\/strong>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-9\"><textarea cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Type your answer here...\" name=\"textarea-9\"><\/textarea><\/span>\n<\/p>\n<p><strong>What do you think could be improved about the practice? Do you have any tips, points of attention, advice, or other ideas for improvements?<\/strong>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-10\"><textarea cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Type your answer here...\" name=\"textarea-10\"><\/textarea><\/span>\n<\/p>\n<p><strong>May we contact you based on this evaluation form?<\/strong>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-9\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-9\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-9\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p>Thank you very much for your cooperation. You can fill in your name and address below, but this is not required.\n<\/p>\n<hr \/>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-1\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"First and last name\" value=\"\" type=\"text\" name=\"text-1\" \/><\/span>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-2\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Address\" value=\"\" type=\"text\" name=\"text-2\" \/><\/span>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-3\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Phone number\" value=\"\" type=\"text\" name=\"text-3\" \/><\/span>\n<\/p>\n<p><input class=\"wpcf7-form-control has-spinner wpcf7-submit button\" type=\"submit\" value=\"Submit\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/p>","protected":false},"excerpt":{"rendered":"<p>Evaluation form As we strive to provide high-quality care, we are constantly exploring ways to improve the quality of our practice. Your opinion is incredibly important in this regard. Therefore, we would like to ask you to fill out this survey.<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false},"_links":{"self":[{"href":"https:\/\/verloskundigendora.nl\/en\/wp-json\/wp\/v2\/pages\/834"}],"collection":[{"href":"https:\/\/verloskundigendora.nl\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/verloskundigendora.nl\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/verloskundigendora.nl\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/verloskundigendora.nl\/en\/wp-json\/wp\/v2\/comments?post=834"}],"version-history":[{"count":11,"href":"https:\/\/verloskundigendora.nl\/en\/wp-json\/wp\/v2\/pages\/834\/revisions"}],"predecessor-version":[{"id":1497,"href":"https:\/\/verloskundigendora.nl\/en\/wp-json\/wp\/v2\/pages\/834\/revisions\/1497"}],"wp:attachment":[{"href":"https:\/\/verloskundigendora.nl\/en\/wp-json\/wp\/v2\/media?parent=834"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}