05/14/2026
If you are willing to share your experience, we would be honored to listen.
We are especially hoping to understand:
• Access to medical care
• Financial or socioeconomic struggles
• How concerns were handled during pregnancy
• Hospital and postpartum care experiences
• Emotional support after loss
• What helped — and what you wish had been different
You can answer as many or as few questions as you feel comfortable with. Your story matters, and your voice could help improve care and support for grieving families in the future.
Please email your responses to:
Jill@MorgansPurpose@gmail.com
You are welcome to remain as private or anonymous as you need.
Thank you for trusting us with pieces of your heart.
Pregnancy & Infant Loss Care Questionnaire
Morgan’s Purpose Research & Support Survey
Thank you for being willing to share part of your story. This questionnaire is designed to better understand the experiences of women and families who have experienced pregnancy or infant loss, including the emotional, medical, financial, and social support they received before, during, and after loss.
You may skip any question that feels too difficult to answer. Your responses can help improve care, advocacy, and support for grieving families.
Section 1: General Information
1. What is your age?
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2. What state do you currently live in?
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3. What is your marital or relationship status?
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4. What is your current employment status?
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5. What is your approximate annual household income?
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6. What type of health insurance did you have during your pregnancy?
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7. How far did you typically travel to receive prenatal care?
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Section 2: Pregnancy & Loss Information
8. What type of loss did you experience?
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9. How many losses have you experienced?
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10. How far along was your pregnancy at the time of loss?
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11. Approximately how long ago did your loss occur?
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12. Did you feel your concerns or symptoms were taken seriously during pregnancy?
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13. Were there any warning signs or symptoms you felt were overlooked?
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14. Did you feel informed about your pregnancy risks and medical options?
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15. Did you feel included in medical decision-making?
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Section 3: Hospital & Medical Care Experience
16. How would you describe the compassion shown by medical staff during your loss?
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17. Were you offered emotional support resources at the hospital?
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18. Were you provided any of the following after your loss?
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19. Did staff explain what to expect physically and emotionally after loss?
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20. Did you feel rushed during labor, delivery, or discharge?
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21. Did any healthcare provider say or do something that deeply helped you during your experience?
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22. Did any interaction with healthcare staff worsen your grief or trauma?
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Section 4: Postpartum & Mental Health Support
23. Did you receive postpartum follow-up care after your loss?
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24. Were you screened for postpartum depression, anxiety, or PTSD?
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25. Did you seek counseling or therapy after your loss?
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26. What barriers made healing or support more difficult?
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27. Did your loss affect your employment or finances?
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28. Did you feel supported by family and friends?
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Section 5: Community & Advocacy
29. What support helped you the most after your loss?
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30. What support do you wish had been available to you?
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31. What changes would you like to see in hospitals or healthcare systems regarding pregnancy and infant loss?
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32. Would you be interested in any of the following support resources?
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33. Is there anything else you would like to share about your experience?
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Thank you for sharing your experience. Your voice matters, and your story may help improve care and support for other families experiencing pregnancy or infant loss.
