Quality of Care Evaluation Form

Please take some time to provide us with your evaluation of the midwifery care that you received during your recent pregnancy, birth and postpartum period. You do not need to identify yourself unless you would prefer to do so. Your comments will be reviewed by the midwifery practice and can help us improve the quality of care we provide to our clients.


Rate the following aspects of your prenatal, labour and birth, and postpartum care. Check one rating choice for each sub-category.




The questions in this section cover your midwifery care from pregnancy, through labour and birth and after your baby’s birth until six weeks postpartum. Please check one answer for each question.

CONTINUITY OF CARE: midwives must ensure that clients have no more than four midwives involved in their care and that there is 24-hour on-call access through pregnancy, labour and postpartum.

INFORMED CHOICE: midwives must provide clients with information about their education and experience, how midwives practice in Ontario and what standards and protocols they must follow. Throughout care, midwives must provide clients with enough information to make informed decisions regarding their care.

CONSULTATION AND TRANSFER OF CARE: midwives are required to consult with physicians for certain conditions that may arise during pregnancy, labour and postpartum. Some conditions require that a physician take over care.

College of Midwives of Ontario – Quality of Care Evaluation Form