Test page Section 1 Note: Questions marked by * are mandatory At which hospital are you intending to have your baby? Queen Elizabeth Hospital University Hospital Lewisham The start of your pregnancy: When you accessed the online referral for maternity care on our website did you see the link to download information about screening tests? Yes No Don't know When you received your handheld record, were you informed how to access screening information via the QR code on the front of the record? Yes No Don't know Did you read any information about infectious diseases (i.e. HIV, Hepatitis B, syphilis, etc) prior to your booking appointment? Yes No Don't know At your booking appointment did you have the opportunity to discuss screening for infectious diseases (i.e. HIV, hepatitis B, syphilism etc.) with your midwife to help you decide whether you wanted to have the screening? Yes Yes, to some extent No Don’t know If you had screening for infectious diseases were your blood results discussed with you by your midwife at your next antenatal appointment? Yes No Don't know I declined screening I understood the information and explanations I was given regarding infectious diseases Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree Do you have any other comments you would like make in relation to screening for infectious diseases? Proceed Summary You are here: Page 1 of 4
