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Doula Client Survey

It has been an honor and pleasure supporting you. Thank you for welcoming me and trusting me to care for you and your family. I would greatly appreciate your feedback in completing this survey regarding my support as your doula.

NOTE: Survey responses may be used in Atala Doula Services marketing materials unless you specifically communicate you do not consent to the use of your responses for this purpose.

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Evaluation of Services

For each statement in this section, select the option that most closely matches your experience.

Feedback Questions

For each question in this section, please provide your feedback.

Future Communication Preferences

My doula is welcome to check in monthly via text/email starting at 4 months postpartum through 1 year postpartum.
My doula is welcome to check in semi-annually via text/email starting at 1 year postpartum through 3 years postpartum.
Preferred method of communication for check-ins?
I welcome a card from my doula in recognition of my baby's birthday.

Additional Comments

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