Mama Deer Birth Service's Doula Questionnaire
Mama Deer Birth Service's Doula Questionnaire
Are you a doula looking to connect with potential clients? Take the Mama Deer Birth Service's Doula Questionnaire to showcase your skills, experience, and philosophy. This comprehensive quiz not only helps you present your qualifications, but also aids expecting families in finding the right doula for their needs.
- Share your experience and certifications.
- Outline the types of services you provide.
- Detail your comfort levels in various birthing scenarios.
Are you certified? If yes, please include the name of the organization you completed your certification with. (If you are in training please note that)
Please use this space to list any additional training or certifications you have (Eg. Spinning Babies, VBAC Doula Training, Breastfeeding Education, Bereavement Doula)
Please select the types of labor and birth, or circumstances you have experience in supporting
Unmedicated Birth
Medicated Birth (eg. epidural)
Inductions
Hospital Birth
Out of Hospital Birth Center Birth
Home Birth
Free Birth
VBAC
Planned Cesarean
Unplanned Cesarean
Rainbow Baby Birth
Stillborn Baby or Baby With a Terminal Diagnosis
High Risk Pregnancy
Premature Birth
Vaginal Breech Birth
Multiples Birth
Previous Traumatic Birth
Parent is a Survivor of Sexual Trauma
POC Birth
Surrogacy Birth
Teen Parents
Baby is to be Adopted After Birth
Please use this space to list any births or circumstances you have experience in that are not listed above that you feel are important to note.
Please select the types of labor and birth, or circumstances you are comfortable supporting, even if you do not have previous experience with it.
Unmedicated Birth
Medicated Birth (eg. epidural)
Inductions
Hospital Birth
Out of Hospital Birth Center Birth
Home Birth
Free Birth
VBAC
Planned Cesarean
Unplanned Cesarean
Rainbow Baby Birth
Stillborn Baby or Baby With a Terminal Diagnosis
High Risk Pregnancy
Premature Birth
Vaginal Breech Birth
Multiples Birth
Previous Traumatic Birth
Parent is a Survivor of Sexual Trauma
POC Birth
Surrogacy Birth
Teen Parent
Baby is to be Adopted After Birth
Do you have a backup/support doula who you can call in case you are unable to attend a birth?
Yes
No
Do you offer photography services?
Yes
No
Is there anything you would like a potential client to know about you as a doula? (Birth philosophy, personal style, information about your own birth experiences.)
Would you be comfortable with me sharing your contact information with clients who are looking for a doula?
Yes
No
Please Contact Me First
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