Preconception Health Survey 

Introduction                                 
This survey about preconception health is being done by Chatham-Kent Public Health. Preconception health refers to the overall health of all people during their reproductive years (the time in which they can have a baby), regardless of gender or sexual orientation. Preconception health focuses on taking action before pregnancy to protect the health of a baby you might have in the future. 

Everyone can benefit from preconception health information, whether or not they plan to have a baby. No one expects an unplanned pregnancy, but it happens often. Good preconception health helps to prevent babies from being born prematurely, underweight or with birth defects and reduces the chances of complications of pregnancy for the mother.

The Survey 
Anyone 18 years of age or older can take this short survey.

This survey has 13 multiple choice questions and will take about 5 minutes to finish.  

The purpose of this survey is to learn about:
  • what you know about preconception health,
  • whether you feel preconception health is important for you to know
  • where/how you get your preconception health information, and
  • the best ways to provide preconception health information.
Your survey answers will not be connected to your name or personal information in any way. Please be as honest as possible. You can choose to not answer questions and can stop the survey at any time. Your decision of whether to participate or not will not change your service relationship with Chatham-Kent Public Health or any agency/organization where the survey is being distributed. The finished surveys will be stored in a secure manner and will only be seen and used by Chatham-Kent Public Health staff.
 
There are no risks related to taking this survey. Your answers will not benefit you directly – they will help Chatham-Kent Public Health decide how to provide information to the public.   

At the end of the survey, you have the option to enter a draw for a $50.00 gift card of your choice to either President's Choice (PC) or Shoppers Drug Mart. 

If you have any questions or would like more information, please contact:
Marnie Van Vlymen, Program Manager, Infant and Child Health, Chatham Kent Public Health Unit
marniev@chatham-kent.ca or 226.312.2025 ext.2401

Thank you!

 
 
Chatham-Kent Public Health is dedicated to working together to deliver effective public health programs and services to protect and promote the health of all people in Chatham-Kent.

*To fill out the survey, please read the sentence below and check the box:

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