LEVEL OF SATISFACTION ON THE ANTENATAL CARE AMONG PREGNANT WOMAN

Name (Optional): Age: Sex:

Parity: ___________ Gestation Age: __________ _

Directions: For each statement in the survey, please indicate how much your level of
satisfaction will agree or disagree with the statement by putting a check (√) in the box
on the right side of each statement. There are no right and wrong answers. Your
answers will be kept strictly confidential and you will not be identified.

Scale: 5- Excellent (Indicates that the characteristic is always manifested)

4- Very Good (Indicates that the characteristic is often manifested)

3- Good (Indicates that the characteristic is sometimes manifested)

2- Fair (Indicates that the characteristic is seldom manifested)

1- Poor (Indicates that the characteristic is never manifested)

A. Satisfaction level receive from Antenatal Care Services 5 4 3 2 1

1. Medical expenses
2. Have a time to attend antenatal check up
3. Long waiting hours in the clinic
4. Level of privacy during antenatal check up
5. Good communication with the health care staff
6. Confidentiality of medical records
7. Care by attending physician
8. Information to follow-up service
9. Awareness on existence of the antenatal care services
10. Prescriptions given by the doctor
11. Cleanliness of antenatal clinic
12. Accessibility to the clinic
13. Language barrier
14. Process of antenatal care procedure
15. Health education by nurses
 B. Yes No
1. Does your doctor prescribe prenatal vitamins in order to promote
the healthy development of the fetus inside of your womb?
2. Do you think pregnancy checkup schedule ensure your healthy
pregnancy until childbirth?
3.

Reference:

Dev-Site. (2021, July 15). Pregnancy checkups: Why are they important? - blogs. Makati
Medical Center. Retrieved January 15, 2023, from
https://www.makatimed.net.ph/blogs/pregnancy-checkups-why-are-they-important/

YouTube. (2020, November 16). How to modify questionnaire | quantitative research for SHS.
YouTube. Retrieved January 15, 2023, from
https://www.youtube.com/watch?v=yHMwRaRcLRo&feature=youtu.be

Fseha, B. (2019, March 19). Assessment of mothers level of satisfaction with antenatal care
services provided at Alganesh Health Center Shire, North West Tigray, Ethiopia.
biomedres.us. Retrieved January 15, 2023, from
https://biomedres.us/fulltexts/BJSTR.MS.ID.002803.php