Mum's, Partner's and Baby's Names
Baby's DOB
MM
DD
YYYY
Email Address
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Please rate the below statements:
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I am satisfied with my birth experience
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
My doula supported me with knowledge and options
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
My doula was kind, compassionate and supportive of my wishes
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
My doula was respectful of my care providers during the birth
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
My doula was helpful to my birth partner
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I am glad I chose to include a doula
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Would you recommend me?
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Yes
No
Imagine you were writing a testimonial for me to use on my website to inform potential clients of the benefits of having a doula and why they should choose me, what could you say?
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Would your partner be so kind as to provide a few words about their experience of being supported by me?
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It is incredibly helpful for partners to hear from other partners how having a doula has helped. (eg. working as a team, helpful suggestions, preparation, tools and techniques ie. massage/acupressure)
What is the most memorable moment of our time together?
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Did I say or do something that really stayed with you or helped when the going got tough?
What was the most helpful thing I did to support you?
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What did you find to be the most helpful things to you in labour?
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e.g. TENS, a mantra, a change of mental focus
Did I help you with any additional services (massage/placenta encapsulation/infant sleep or infant massage course/yoga)? If so, were you satisfied and if you have a few words to share about the experience please do.
Is there anything you could suggest to help improve the service?
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Perhaps there is something that you would have liked to see included in the service?
Do you feel that you got value for money? Do my fees reflect the service you received?
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(e.g. on-call period, antenatal education, phone support, physical & emotional support, professionalism, photography, postpartum support, professional referrals, lending library of books and items)
Would you mind letting me know how you found me and why you chose me?
If you were to share words of wisdom with a first time family preparing for labour, birth & bringing their baby home, what would it be?
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Would you like to rave about any practitioners/websites/podcasts/groups you used during your pregnancy or postpartum to other families?
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Please share any details you have and I will definitely pass them on.
Are you happy for the information you have provided to be used as a marketing testimonial?
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Testimonials are a vitally important way for people to decide on whether a particular doula is going to be the right fit for them. It helps them understand the benefits of working with me and enables them to feel more confident.
I am happy for all or part of the information to be used
I would like the information to remain private and not to be used
Are you sharing a photo?
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I would genuinely be thrilled to include a photo of you and/or your baby with the testimonial. If this would be ok, please attach a photo or send it through separately once you have had a chance to take one.
Yes, I will email to you
No
Thank you so much for taking the time to give feedback on your experience.
Your feedback will help me to grow as a doula and a therapist and facilitate empowering experiences for other families. Sharing your experience helps others to understand the benefits of having a doula, and possibly choosing to work with me.
Your tips and recommendations are always greatly appreciated by new families!!! (Feel free to leave more recommendations on my Facebook page for everyone to see or send through any time!)
If you would like to, you can also leave a rating on my Facebook page (http://facebook.com/nancythedoula ) which would be appreciated like you wouldn’t imagine! I am in the early stages of building my business and every bit of feedback is incredibly valuable.
Lending Library
I offer a free lending library of items such as baby carriers, breastfeeding pillow, books and DVDs for my clients. My goal is to enable men and women to explore as many different philosophies and facets of birth and parenting as they desire, without the cost of buying all and sunder to figure out which ones work for them and are aligned with their values. Many I have purchased, and many have been donated by kind people who believe in the good cause.
If you have any pregnancy or parenting related items, books or DVDs which you no longer require, your donation would be very welcome. Of course you can borrow anything back at any time!
Birth Story
Have you thought about writing down or recording your birth story?
Why should I write my birth story? - Birth Without Fear
Also, I am setting up a Positive Birth Stories section on my website soon to give inspiration and comfort to families preparing for birth and would love to include yours. (If you would like to remain anonymous that is absolutely fine.)
Keeping in touch
If you would like to stay in touch, I would love to stay in touch on Facebook ! I love the idea of an annual park picnic BBQ too and will post on FB to arrange. I can’t wait to see your bubba grow out of his 000’s and start chasing pigeons around the playground ;)
With love and oodles of gratitude.
Nancy .x.x