The code block below illustrates how one might use # and // as comments in your logic and calculations.

This value you provided is not a number. Please try again.

This value you provided is not an integer. Please try again.

The value entered is not a valid Vanderbilt Medical Record Number (i.e. 4- to 9-digit number, excluding leading zeros). Please try again.

The value you provided must be within the suggested range

The value you provided is outside the suggested range

This value is admissible, but you may wish to double check it.

The value entered must be a time value in the following format HH:MM within the range 00:00-23:59 (e.g., 04:32 or 23:19).

This field must be a 5 or 9 digit U.S. ZIP Code (like 94043). Please re-enter it now.

This field must be a 10 digit U.S. phone number (like 415 555 1212). Please re-enter it now.

This field must be a valid email address (like joe@user.com). Please re-enter it now.

The value you provided could not be validated because it does not follow the expected format. Please try again.

Required format:

869694YcVj62hpBNB6ufMVufjQoKpQi2PZSRNihGrYz3x2CayeLpC26j5wRG6iEEW5dIgHWtQD6e78KDVx4N9sQF7XKLvv3ra7kjQFd4tTHugyrf5kMqEP9nQ

TeamBirth Patient Survey

Your hospital would like to know about your experience with TeamBirth huddles and shared-decision making with your clinical team during this hospital stay. We invite you to take part in this survey to share your feedback.

The survey will take about 3 minutes to complete. You can skip some questions by selecting the response option "Prefer not to answer." If you do not take this survey, the health care you receive will not be affected in any way. Your responses will be anonymous with no ability to identify you.

Your participation in this survey is optional. There is no direct benefit to you for participating in this survey, and you will not be paid for participating.

Click here for the Spanish survey

In which hospital did you deliver?

* must provide value

survey_date

* must provide value

M-D-Y

Completely Disagree

Strongly Disagree

Somewhat Disagree

Somewhat Agree

Strongly Agree

Completely Agree

Did Not Answer/Prefer Not to Answer

My clinical team asked me how involved in decision making I wanted to be.

* must provide value

TeamBirth Patient Survey

We collect the following demographic information to help ensure we are treating everyone with respect and the care they deserve.

You have selected an option that triggers this survey to end right now.