What town/neighborhood do you live in?
Estimated Due Date
Current Care Provider
Were you referred to our team? If so, by whom?
What number baby/pregnancy is this?
Delivery plans/Delivered at:
I'm interested in:
Birth + Postpartum Doula
Birth Assistant (Unassisted)
I'm looking for Postpartum doula support:
during the day
during the night
both daytime + nighttime
First choice doula
Second choice doula
Which birth package are you interested in?
Duchess Birth Assistant/Doula Pkg || $400-$800
Princess Birth Assistant/Doula Pkg || $950
Queen Birth Assistant/Doula Pkg || $1550
Virtual Queen Pkg || $800
Virtual Princess Pkg || $600
What tier postpartum doula are you interested in?
In Training: 0-5 families || $25-$35/hr
Tier One: 6-20 families || $40-$55/hr
Tier Two: 20+ families || $60-$75/hr
Are you interested in any additional services?
Belly Binding/ Womb care
Unassisted Birth Education
Anything else you would love to share with us?
Looking forward to working with you!
Experience may be determined by how many clients a doula has worked with and/or other skills such as womb care, herbalist, nutritionist, lactation, etc. All training births include a trained doula and a doula in training!
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