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Name* First Last Select Your Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code I am a:*(select all that apply) Researcher (maternity care) Researcher (public health) Researcher (instrument development/critical appraisal) Journal Editor Health Care Provider Health Care Professional Educator Policymaker Non-profit Government entity Parent/Expectant Parent Childbirth Educator Student Other If other, please describe: This instrument is free for use, with appropriate attribution, in research in academic and non-profit research settings. However, for any study carried out by governmental or commercial entities, or if the study is wholly or partially supported by a commercial or governmental organization or grant, authorized use may require a licensing fee and/or a formal agreement before use.* I plan to use the PAPHB Scale for academic/non-profit purposes only. I plan to use the PAPHB Scale for commercial/government purposes, or some part of my project is funded by a commercial/government entity. Terms of Use The use of the Provider Attitudes to Planned Home Birth (PAPHB) Scale are subject to the following conditions: 1. Use of the Provider Attitudes to Planned Home Birth (PAPHB) Scale by not-for-profit/academic organizations, health care providers, and health care institutions is free of charge. 2. Modifications or adaptations to the Provider Attitudes to Planned Home Birth (PAPHB) Scale must (i) be approved by the copyright holder and (ii) must cite the original tool (SEE ITEM 5). 3. Use of the Provider Attitudes to Planned Home Birth (PAPHB) Scale or any derivative in whole or in part thereof by for-profit organizations or by any organization or individual for a commercial purpose or for monetary gain (e.g., use in training courses, consultation) is strictly prohibited without the explicit permission of the copyright holder. 4. Distribution of the Provider Attitudes to Planned Home Birth (PAPHB) Scale is permitted (e.g., web links, sharing of the tool with others) for not-for-profit research or educational purposes. 5. Use and/or modifications of the Provider Attitudes to Planned Home Birth (PAPHB) Scale requires citing the original tool: Vedam S, Stoll K, Acker J, White S. & Schummers L. (2009). Nurse midwives’ experiences with planned home birth: impact on attitudes and practice. Birth. 36(4):274-82.https://pubmed.ncbi.nlm.nih.gov/20002419/.Agreement* I have read and agree to the PAPHB Terms of Use The fee for use of the Provider Attitudes to Planned Home Birth (PAPHB) Scale for commercial or governmental purposes is dependent on a variety of factors. Any funds generated through the copyright arrangement are used exclusively to support the ongoing work of the Birth Place Lab. Please contact the Birth Place Lab for permissions: laura.beer@ubc.ca. Yes, I would like to receive updates on the PAPHB Scale! Yes, please keep me up-to-date We respect your inbox! We will not share your email. We will only reach out to you with updates on PAPHB or to learn more about how you are using the tool.Email* Many people are requesting and using our tools, oftentimes from the same country. With your permission, we would like to share your contact information with other people who requested and may have translated our tools so that efforts are not duplicated. Do you consent for us to share your email address with other colleagues who have requested our scales? Yes, I give the Birth Place Lab permission to connect me with other researchers who have requested our materials. No, I would not like my email to be shared.