Pregnancy & Reproductive Loss Survey — Bloom Through Motherhood

Before you begin — if you need support right now This survey covers painful topics. You can stop at any time. If you are struggling today, you are not alone.
📞 PSI Perinatal Helpline: 1-800-944-4773 | 📞 988 Crisis Lifeline: call or text 988 | 💬 Crisis Text Line: Text HOME to 741741 | 🌐 PSI Support Groups: Find a free group →

Community Needs Survey

Pregnancy Loss, Infertility & Reproductive Grief
Telling us what support you needed — and what was missing

Every loss is real. Every grief deserves to be held. This survey is for anyone who has experienced pregnancy loss, infertility, a difficult reproductive decision, or the complicated emotions that can follow — regardless of where you are or the circumstances.

There is no experience that doesn't belong here. You do not have to justify your grief to us.

All responses are completely anonymous. You will never be identified.

We know this survey covers ground that may be tender. You are in complete control — skip any question that doesn't feel right, and stop at any time. What you're willing to share will help Bloom Through Motherhood build support that actually meets women where they are.

Section 1 of 5

Section 1 — About You

How would you describe where you are right now? *

I'm still in the thick of it — actively grieving I'm further along, but grief still surfaces I feel mostly healed, but I still carry it I'm currently trying to conceive after a loss I'm currently pregnant after a loss Honestly, I'm not sure where I am

State *

County Optional

Section 2 — Your Experience

A gentle noteSelect everything that applies to your story — you may have more than one experience. You don't need to choose the "right" label. If something happened to you, check it.

Which of the following are part of your story? *
Check all that apply.

Early Pregnancy LossMiscarriage before 13 weeks, including chemical pregnancy

Second Trimester LossPregnancy loss between 13 and 24 weeks

StillbirthLoss of a baby after 24 weeks, during pregnancy or at birth

Neonatal LossA baby who lived briefly after birth and then passed

Ectopic PregnancyPregnancy that implanted outside the uterus

Molar PregnancyAbnormal tissue growth instead of a viable pregnancy

Termination for Medical Reasons (TFMR)Ending a wanted pregnancy due to a fetal diagnosis or maternal health emergency

Pregnancy TerminationEnding a pregnancy, for any reason — including circumstances that were complicated, painful, or not entirely your choice

Infertility / Difficulty ConceivingStruggling to become pregnant, with or without a diagnosis

Failed IVF or Fertility TreatmentsOne or more cycles that did not result in a pregnancy or baby

Recurrent Pregnancy LossTwo or more pregnancy losses, whether or not they were diagnosed as a pattern

Grief After Placing a Baby for AdoptionThe complex grief that can follow a voluntary or coerced adoption plan

Something else — my experience isn't listed above

You're doing something brave by being here.These questions are about what your experience actually felt like — not just what happened, but how it was held (or not held) by the people and systems around you.

Section 3 — During & After Your Loss

How did you first learn about your loss or diagnosis? *
Check all that apply.

A routine ultrasound — I had no warning anything was wrong Prenatal genetic or diagnostic testing results Physical symptoms (bleeding, pain, cramping) I went to the ER or urgent care Prolonged time trying without becoming pregnant I already knew and had been working through a decision

How did your healthcare provider(s) handle the news or experience with you? *

With great care and compassion — I felt truly supported Professionally, but without much emotional support In a way that felt rushed or dismissive Clinically only — my grief was never acknowledged In a way that made me feel judged or stigmatized Not applicable — a provider wasn't directly involved

Did your healthcare provider offer you any emotional support resources after your loss or procedure? *

Yes — they gave me referrals and followed up on my emotional wellbeing Yes, briefly — they mentioned a hotline or pamphlet No — nothing was offered or mentioned I didn't even know resources like that existed Not applicable

What did grief feel like for you emotionally? *
Check all that apply — even if symptoms came much later.

Deep sadness or depression Anxiety, panic, or hypervigilance Numbness or feeling disconnected from life Rage or anger — at your body, at others, at circumstances Guilt or self-blame Shame — like it was somehow your fault or you should keep it quiet Relief mixed with grief — and guilt about feeling relieved Complicated or ambivalent feelings that were hard to name Deep isolation or loneliness Intrusive thoughts, flashbacks, or trauma responses Difficulty being around pregnancy announcements or babies I didn't feel like I had "permission" to grieve

Who in your life knew what you were going through? *
Check all that apply.

My partner or spouse Close family members A few close friends A broader social circle An online community or support group A therapist or counselor Almost no one — I kept it very private No one knew

If you kept your experience private, what drove that? Skip if not applicable.

I didn't want to have to answer questions or explain I felt ashamed or feared being judged I was worried how people would react to my circumstances or choices I was trying to protect my partner or family from pain I wasn't sure people would consider it a "real" loss My cultural or religious family context made it complicated to share I just wasn't ready to say it out loud

What do you wish the people around you had understood about what you were going through? *

Did anyone say or do something that made it harder — even if they meant well? Optional

Section 4 — Support: What Helped & What Was Missing

What types of support did you actually receive after your loss or experience? *
Check all that apply.

Emotional support from my partner Support from family Support from friends Therapy or counseling An online support group or community An in-person support group My faith community or clergy Medication for anxiety or depression Practical help (meals, errands, childcare) I managed largely on my own

What support did you need but couldn't find or access? *
Check all that apply.

A safe space to talk without being judged Someone who had actually been through the same thing A therapist who specialized in pregnancy loss or grief A support group specific to my type of loss Support that didn't require me to justify my circumstances Support for my partner too — or couples support Support for anxiety during a pregnancy after loss Clear information about what to expect physically and emotionally Support that was affordable or free Support available outside of regular business hours A community that understood ambiguous or complicated grief

Were there barriers that kept you from getting support, even when you knew you needed it? Check all that apply. Skip if not applicable.

Cost — I couldn't afford therapy or formal support I didn't know what was available or where to look I felt like my loss wasn't "big enough" to warrant help I was afraid my circumstances would be judged Waitlists or lack of available providers I couldn't find support specific to my type of loss I wasn't emotionally ready to seek it Transportation or childcare challenges

Looking back, what helped you the most — even if it was small? Optional

If BTM offered a support group for pregnancy loss and reproductive grief, would you want it open to all types of loss — or specific to your type? *

Open to all losses together — shared grief can be connecting regardless of specifics Specific to my type of loss — the nuances matter and I'd feel more understood Both — a general community with type-specific subgroups No preference — I just want a space that feels safe

If your experience includes a pregnancy termination (for any reason), how important is it that a support space be explicitly non-judgmental about the circumstances? Skip if not applicable.

Absolutely essential — I would not participate otherwise Very important Somewhat important — I'd give a group a chance if it felt safe I would prefer a space specifically for people who have had terminations Not applicable

Section 5 — What Would Actually Help

Which of the following would be most valuable to you personally? *
Select your top 3.

An in-person grief support group A virtual support group I can join from home One-on-one peer support from someone who has lived this A warm referral to a grief-specialized therapist A clear resource guide for local and national support Resources for partners or couples grieving together Support for anxiety during pregnancy after a loss Educational content about grief, trauma, and the body A community space to share stories — anonymously if desired A memorial or remembrance event for our babies

What would make a support space feel truly safe for you? *
Check all that apply.

No judgment about circumstances or choices Led by someone with lived experience of loss Strict confidentiality — what's shared stays there A small group size — not a large room full of strangers No pressure to share — just listening is okay Not overly clinical or structured A clear trauma-informed approach Faith-optional — neither required nor excluded Free to attend

If you could change one thing about how our community supports women through pregnancy loss and reproductive grief, what would it be? *

Is there anything else you want us to know? Optional

Optional — Stay Connected

Would you like to receive updates when BTM launches pregnancy loss or grief support programming? Optional

Yes — by email Yes — by text No thank you

Email address

Phone / text number

Would you be willing to share your story — anonymously — to help others feel less alone? Optional

Yes, I'd be willing to share anonymously Yes, I'd be open to sharing with my name Maybe — I'm not ready right now, but maybe someday No, but thank you for asking

All responses are anonymous. Thank you for trusting us with something so personal.

🌸

Thank You

What you shared matters.
Your loss matters.

It takes courage to talk about something this tender. Every response you shared is helping Bloom Through Motherhood build support that truly meets women where they are — without judgment, without conditions, and without anyone having to grieve alone.

If You're Hurting Right Now

You don't have to carry this alone today.

📞 PSI Perinatal Helpline: 1-800-944-4773
📞 988 Suicide & Crisis Lifeline: call or text 988
💬 Crisis Text Line: Text HOME to 741741
🌐 PSI Free Online Support Groups: Find a group →
🌐 PSI Specialized Loss & Grief Resources: View resources →
🌐 Share Pregnancy & Infant Loss Support: nationalshare.org →

Questions? Reach us at hello@bloomthroughmotherhood.org

Bloom Through Motherhood provides peer support — not clinical or medical services.
PSI Helpline: 1-800-944-4773 | 988 Crisis Lifeline: call or text 988 | Crisis Text Line: Text HOME to 741741 | PSI Free Online Support Groups

Pregnancy Loss, Infertility & Reproductive GriefTelling us what support you needed — and what was missing

What you shared matters.Your loss matters.

Bloom Through Motherhood

hello@bloomthroughmotherhood.org

Pregnancy Loss, Infertility & Reproductive Grief
Telling us what support you needed — and what was missing

What you shared matters.
Your loss matters.