Went through labor and would like to leave a feedback of your experience? Use our online form template to share.
Feedback And Evaluation
Baby's Birth Date
Overall Birth Experience
What is your overall feeling of your labor and birth experience?
In what way(s) specifically, did you like the support your received from your doulas?
In what way(s) if any would you like to have had your experience look different?
Do you feel like you received enough Emotional and Informational Support from your Birth Doulas in Pregnancy prior to Labor? If not, what would you have liked to have seen more of?
Do you feel like you received enough Emotional and Informational Support right before going to the Hospital? Is there anything you would have liked to have been different?
Please answer the following questions on a scale of 1 to 5. 1 - Not Helpful 5 - Very Helpful
How helpful were the techniques used in handling the physical aspects of your labor?
How helpful were the techniques used in handling the emotional aspects of your labor?
How helpful were the suggestions for the father/partner?
Are there specific things you found particularly helpful or are glad that we did?
Are there specific things you did not find helpful or wish we would not have done?
Are there specific things you wish we would have done?
Is there anything you wish we had brought to the birth?
Overall, how would you rate the value and usefulness of having a doula present at your birth?
Please add any additional comments:
How can I improve my process?
e.g. scheduling prenatal visits, communication, scheduling postnatal visits, paperwork, etc.
If you would like, you can write a testimonial to be used on my website here.
Should be Empty:
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