WAP Maternal Mental Health Awareness Event Sunday 10th May 4pm

Caution: JavaScript execution is disabled in your browser or for this website. You may not be able to answer all questions in this survey. Please, verify your browser parameters.

We are delighted that you’re interested in joining our Maternal Mental Health Awareness Zoom Workshop to be held on Sunday 10th May at 4pm.

The World Health Organisation estimates about 10% of pregnant women and 13% of new mothers develop a maternal mental health illness.

During this session, you will receive useful information on the signs of maternal mental health illness and the support available at this trying time of the pandemic, as well as hear a real life story of one woman who bravely travelled the road to recovery.

To register, and receive the Zoom link, please complete the registration form below.

Thank you,

WAP Team

Name

Telephone number

Who will join the session?

Select all that apply

Mother
Father
Other:

Birth Date or Due Date

Are you a first time parent?

Yes No No answer

Please answer the following questions using the scale below

	Strongly Agree	Agree	Neither Agree Nor Disagree	Disagree	Strongly Disagree
I feel informed and aware of maternity related mental health conditions
I feel I would be able to recognise the signs of maternity related mental health conditions
I feel confident in how to access the services that are available for maternity related mental health illness in this current climate
I feel confident to ask for help within my community, if I need it.

Please let us know what support you have at home under the current social distancing restrictions: Optional (Please tick all that apply)

Select all that apply

Partner
Extended family
Friends nearby
Neighbours
Other:

Is there any specific day to day or one off support you need, that WAP or the institutions might be able to provide you with?

Do you give consent for the Institutions to keep in touch with you to offer support and inform you of events and resources to assist you on your parenting journey?

Yes No

Exit and clear survey