Bliss Insight & Involvement Group Sign-Up

About you

Name *

We'll only use this to contact you with relevant information and if you opt-in to receive other Bliss updates.

The below information helps us to better understand the impact of health inequalities on neonatal experiences and improve outcomes for all babies and families.

Is your gender identity different from gender assumed at birth?

Your neonatal experience

Which of these best describes your neonatal experience or experiences? *
What level of neonatal care did your baby receive? *
What level of neonatal care did your babies receive? *
What level of neonatal care did you receive when you were a baby? *

Please tell us your age when each of your multiple babies were born.

Did your baby/babies have any of these conditions that needed treatment in neonatal care?

Please select all that apply.

Did you have any of these conditions that needed treatment in neonatal care?

Please select all that apply.

These could be medical, developmental, behavioural and/or social.

Your involvement

How would you like to help shape our work? *
What ways would you like to get involved? *

Let's keep in touch

Your support helps the most vulnerable babies in the UK. We’d love to keep you updated with news about our work and ways you can get involved with Bliss. Are you happy for us to contact you:
By email *
By phone *
By text message (SMS) *

Your privacy


We (Bliss and Bliss Scotland) promise to keep your details safe and never pass them on to third parties for marketing purposes. Find out how we look after your personal data in our Supporter Promise. If you have provided a postal address we may occasionally contact you by post, but you can opt out of all communications from Bliss at any time by calling us on 020 7378 1122 or emailing fundraisingoperations@bliss.org.uk