BirthWell Partners Doula Evaluation
Please help us improve our program but letting us know about your experience with a BirthWell Partners doula
What was your doula's name? *
Your answer
What is your baby's birth date? *
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Overall, how satisfied were you with your doula?
Please describe one helpful thing your doula did for you during your pregnancy:
Your answer
Please describe anything your doula did during your pregnancy that was NOT helpful:
Your answer
Please describe one helpful thing your doula did for you during labor and birth:
Your answer
Please describe anything your doula did during labor and birth that was NOT helpful:
Your answer
Please describe one helpful thing your doula did for you after your baby was born:
Your answer
Please describe anything your doula did after the baby was born that was NOT helpful:
Your answer
If you were to have another baby, would you want a doula with you again?
Please explain why or why not:
Your answer
As a result of having a doula did your understanding of when a baby is ready to be born change?
As a result of having a doula did your understanding of good nutrition during pregnancy change?
As a result of having a doula did your understanding of how to ask for what you needed during prenatal visits and during labor change?
As a result of having a doula did your understanding of when it's important to call your doctor or midwife change?
As a result of having a doula did your understanding of when to go to the hospital change?
As a result of having a doula did your understanding of when a cesarean section is necessary change?
As a result of having a doula did your understanding of why breastfeeding is important change?
As a result of having a doula did your understanding of how to get started with breastfeeding change?
As a result of having a doula did your understanding of the importance of holding your baby skin to skin after birth change?
Please share any other comments you have about your experience with BirthWell Partners:
Your answer
It is important for future BirthWell Partners clients and supporters to hear about families' experiences with our program: May we share your comments on line or in printed materials? *
If "yes", may we use your name? *
Would you be interested in being interviewed about your experience? *
If "yes" please provide the best way to contact you: *
Your answer
Thank you so much for completing this survey and helping us improve our program!!!
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