MyDoula+ Personalized Birth Package
This form is to help me better provide support to you and your family by gearing your Doula Package to your income needs. This will help us both create a personalized Doula package at a cost that is affordable to you and your family and that values the work and support I provide as your Doula. Everyone deserves the support of a Doula and I am proud to support everyone along this journey we call parenthood! Once I have received your form and review all data we will meet to discuss the package(s) I have put together for your family, at that time you are more than welcome to choose at that meeting or take them away and choose if you wish. But you are NOT obligated to choose one and hire me if you feel the packages don't work for you.
Email address *
Name *
Your answer
Phone Number *
Your answer
How many incomes do you have in your household? *
What is the total household yearly income? *
What is your Job Title? *
Your answer
What is your spouses Job Title? *
Your answer
Give a rough estimate of your monthly living expenses *
What payment plan do you wish to have? *
What do you feel you can afford to pay for your Doula services? *
What type of services do you feel you would like included in your package? *
Required
Please leave anything else you wish to tell me about yourself, life, your pregnancy or questions you may here. Thank you!
Your answer
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