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Name *
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Our prenatal appointments were useful and informative. * 5 – Strongly Agree 4 – Agree 3 – Neutral 2 – Disagree 1 – Strongly Disagree N/A
My doula provided me with helpful emotional support during pregnancy and birth. * 5 – Strongly Agree 4 – Agree 3 – Neutral 2 – Disagree 1 – Strongly Disagree N/A
My doula provided me with helpful informational support during pregnancy and birth. * 5 – Strongly Agree 4 – Agree 3 – Neutral 2 – Disagree 1 – Strongly Disagree N/A
My doula provided me with helpful physical/practical support during pregnancy and birth. * 5 – Strongly Agree 4 – Agree 3 – Neutral 2 – Disagree 1 – Strongly Disagree N/A
My doula contributed to me having a positive birth experience. * 5 – Strongly Agree 4 – Agree 3 – Neutral 2 – Disagree 1 – Strongly Disagree N/A
My doula provided me with helpful emotional support postpartum. * 5 – Strongly Agree 4 – Agree 3 – Neutral 2 – Disagree 1 – Strongly Disagree N/A
My doula provided me with helpful informational support postpartum. * 5 – Strongly Agree 4 – Agree 3 – Neutral 2 – Disagree 1 – Strongly Disagree N/A
My doula provided me with helpful physical/practical support postpartum. * 5 – Strongly Agree 4 – Agree 3 – Neutral 2 – Disagree 1 – Strongly Disagree N/A
My doula contributed to me having a positive postpartum experience. * 5 – Strongly Agree 4 – Agree 3 – Neutral 2 – Disagree 1 – Strongly Disagree N/A
What services or support were most helpful for you? *
What stood out to you about the support your doula provided? *
What were some of the biggest challenges you anticipated about your birth and/or postpartum time? *
How do you feel about those challenges as our time comes to a close and you move forward in your new life? *
Is there anything that you feel would have improved our time together?
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