You can use this form to share your experiences with private maternity care with us.
“,”prompt”:Share your experience”, “displayOnSensitive”:false,”elementId”:2eb69ad0-6c6b-4737-8d6d-5c2fdec00498″, title”Share your experience”, “isNonCollapsible”:true, “formFields”:( {“_type ‘model.dotcomrendering.pageElements.CalloutFormFieldBase’, ‘name’, name, ‘id’:166383148, ‘hideLabel’:false, ‘label’, Name, “hidden”:false,”type”:text”required “:true},{“_type”:model.dotcomrendering.pageElements.CalloutFormFieldBase”,”name”where_you_live”,id”:166383149 “,”hideLabel”:false,”label”Where do you live?”,”hidden”: false,”type”text”required”:true},{“_type”:model.dotcomrendering .pageElements.CalloutFormFieldBase”,”name”tell_us_a_bit_about_yourself_eg_age_and_what_you_do_for_a_life”,”id”:166383150″hideLabel”:false,”label”Tell us something about yourself (e.g. your age and what you do for a living) “,”hidden”:false,”type”text”required”:false},{“_type”model.dotcomrendering.pageElements.CalloutFormFieldBase”,”name”are_having_a_private_birth_or_considering_one_please_tell_us_why “,”description”: “Please provide as much detail as possible”, id ‘166383151’, ‘hideLabel’:false, ‘label ‘Have you had a private birth or are you considering one? Please tell us why.”,”hidden”:false,”type”:textarea”,”required”:true},{“_type”:model.dotcomrendering.pageElements.CalloutFormFieldBase”name”:_what_was_your_concern” ,”description”: please provide as much detail as possible”,id”:166383152″,”hideLabel”:false,”label”: How was your care?”,”hidden”:false,”type ciestextarea”,”required”:true},{” _type”model.dotcomrendering.pageElements.CalloutFormFieldBase”,”name”: if_you’re_happy_with_you_can_upload_a_photo_of_yourself_here”, “id”:166383154″,”hideLabel”:false, “label”: If you want, you can upload a photo of yourself here” , “hidden”:false,”type”:file”, “required”:false},{“_type”:model. dotcomrendering.pageElements.CalloutFormFieldRadio”,”name”can_we_publish_your_response”,”options”:({“label”:Yes, completely”,”value””Yes, completely”},{“label””Yes, but please contact first me”, “value”: Yes, but please contact me first”},{“label”: Yes, but please keep me anonymous”, “value”: Yes, but please keep me anonymous”}, {” label”: No, this is information only”, “value”: No, this is information only”}),”id”: “166383155”, “hideLabel”:false,”label: “Can we publish your answer?” ,”hidden”:false,”type”radio”,”required”:true},{“_type”:model.dotcomrendering.pageElements.CalloutFormFieldBase”,”name”phone number”, “description”: Your contact details are useful so that we may contact you for more information. They are only seen by The Guardian.”,”id”:166383156″, “hideLabel”:false,”label”:Phone number”, “hidden”:false,”type”:text”, required “:false},{ “_type ‘model.dotcomrendering.pageElements.CalloutFormFieldBase’,name ’email_address_’,description ‘Your contact information is helpful so we can contact you for more information. They are only seen by The Guardian.”,”id”:166383157″,”hideLabel”:false,”label”Email address”, “hidden”:false,”type”text”,required “:true},{ “_type ‘model.dotcomrendering.pageElements.CalloutFormFieldBase’,name ‘you_can_add_more_information_here’,’description ‘If you include other people’s names, ask them first.’,’id’: “166383158”,”hideLabel”:false,” label “You can add more information here”, “hidden”:false,”type”:textarea”,”required”:false}),”_type” model.dotcomrendering.pageElements.CalloutBlockElementV2″,”tagName”:nl-callout -private-maternity-services”, “activeFrom”:1716336000000,”id”:cb66ee8c-fd03-49a2-986e-057f6e55e31b”, “calloutsUrl” :”https://callouts.guardianapis.com/formstack-campaign/submit” ,”formId”:5783182},”pageId”:society/article/2024/may/23/tell-us-have-you-had-a-private-birth-or-are-you-considering”}” config= “{“renderingTarget”:Web”,”darkModeAvailable”:false,”inAdvertisingPartnerABTest”:false,”assetOrigin”:https: //assets.guim.co.uk/”}”>
Share your experience
You can use this form to share your experiences with private maternity care with us.