Doula Intake Form (Going Deeper)
Take a moment with these following questions.
They are meant to free up any ghosts or fears you may have in relation to the birthing process.
This information is private and respected, and will only be seen by you and me.
Sometimes in birth a medical intervention is necessary for the health and safety of you and your child’s wellbeing. What are your fears/worries related to this?
Your answer
Sometimes in birth you are unable to fulfill your highest birth plan. What are your fears/worries related to this?
Your answer
Sometimes in birth, a birth attendant, partner, medical staff, or family member can be challenging, disruptive, or disrespectful. What are your fears/worries in relation to this?
Your answer
Sometimes babies and moms die during childbirth. What are your specific fears/worries related to this?
Your answer
Sometimes (usually always!) in birth you are led to a place in yourself where you are challenged to bring up your deepest strength and will power to birth your baby. What are your fears/worries (or excitement!) in relation to this?
Your answer
So far in your pregnancy, what are you the most proud of yourself for?
Your answer
What do you think will make you an uniquely awesome parent?
Your answer
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