Help us to help women

What was your abortion experience?

Have you had an abortion? What was your experience? Would you like to share that in a confidential survey? The HSE is not centrally recording the negative experiences of women who undergo an abortion. We think women's voices should be heard.

If you would like to share your experience please complete the survey below online, or print, complete and send it to us at 6 Gardiner Place, Dublin 1.

You might wish to pass this survey to a friend who has had an experience they wish to share. You may fill out the form either way below:

1. Sharing - in complete confidence - your name and contact details which will never be shared with anyone else.

2. Anonymously, without sharing your name or contact details.

Your name and contact information will be kept completely confidential in accordance with GDPR guidelines.

Survey

There are 22 questions - Please fill in as many as you can.

1. How did you come to seek a termination of pregnancy?

2. What county was the GP or abortion provider located in?

3. Were you seen by a registered doctor or nurse?

4. Did you feel that the GP/abortion provider was neutral and unbiased?

5. Who first raised the issue of abortion, you or the doctor?

6. Did the GP/Abortion provider offer counselling during the visit?

7. If you asked about keeping the baby, were you told where you could get any help or support?

8. If you asked about keeping the child, were you offered any help or support?

9. If you had doubts about the abortion, did you feel you were listened to?

10. Were you told anything about the development of your baby when you were pregnant?

11. Were you told about any possible physical or psychological side effects of abortion?

12. Were you told about possible pain associated with the abortion procedure?

13. Did you experience any pain associated with the abortion procedure?

14. Would you like to share any thoughts on the abortion procedure?

15. How did the staff at the abortion provider treat you?

16. Did you at any stage wish to have the effect of the abortion pill reversed?

17. Were there any medical or physical complications? How were they dealt with?

18. Did you have any negative mental health outcomes after the abortion?

19. Would you like to say more about any negative mental health consequences after the abortion?

20. Would you like to make any other comment?

21. Have you had a previous abortion?

Yes

22. Do you have other children?

Yes

Your Details

Thank you!

First Name

Last Name

Age at time of abortion

Your age now

Address

Phone Number

Help us to help women

What was your abortion experience?

Survey

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