GMD CIC Initial enquiry form
Thank you for contacting Greater Manchester Doulas CIC.

This form is to determine the kind of support you would like, and asks you for some basic information to help us get a better picture of how we can support you. Please fill out as much as you would like, and go into as much detail as you are comfortable with. All answers will be of course be kept confidential.
First Name
Last Name
Email address
How did you hear about GMD?
What area do you live in?
Do you live in (or very near) Miles Platting and/or a Jigsaw Home? (We have specific funding for women in this area/housing)
Clear selection
Are you currently pregnant?
Clear selection
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