Name * First Name Last Name Email * Phone (###) ### #### What was your baby's due date? MM DD YYYY What day was your baby actually born? MM DD YYYY Which birth doula did you work? Thank you for taking the time to share your experience. Your feedback helps us deepen the care we provide to families during one of life’s most beautiful transitions. I felt well-supported by my doula prenatally. Strongly Disagree Disagree Neutral Agree Strongly Agree What aspects of the prenatal support were most helpful? Is there anything you wish had been different or added during the prenatal phase? I felt well-supported by my doula during labor & birth. Strongly Disagree Disagree Neutral Agree Strongly Agree What stands out most when you think about the doula's support during your birth? Is there anything you wish had been different about the support provided during labor & birth? Did your doula check in with you via phone after the birth of your baby? Yes No Did your doula meet with you for a postpartum visit? Yes-in person Yes-virtually No Was this follow-up visit valuable to you? Yes No Not really My doula didn't provide a follow-up visit. Is there anything you wish had been done differently during the immediate postpartum period? On a scale of 1-10 (1 being the worst and 10 being the best), how satisfied were you overall with birth doula services? Anything else you'd like to add about your experience with birth doula services? Thank you! Birth Doula Services Survey
