1. Your Name
*
First Name
Last Name
2. Birth Partner Name
First Name
Last Name
3. Baby Name(s)
5. Were you a...
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First Time Mum
Second Time Mum
VBAC
Caesarean
Twins
Premature Baby
Other
6. Where did you hear about DoulaCare Ireland?
Website
Social Media
Print Media
Radio
Family / Friend
Birth Fair
Other
6a. Describe which Birth Fair / Other.
7. Why did you choose DoulaCare Ireland?
Was there an obvious advantage that made our agency stand out in some way?
8. How did you find your initial interaction with DoulaCare Ireland?
9. How did you find the support you received from DoulaCare Ireland throughout your pregnancy / postpartum period?
10. Which doula service did you use?
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Birth
Postpartum
Both
11. Were you happy with the level of service you received from DoulaCare Ireland?
Yes
No
Partially
12. Which doula(s) worked with you?
*
Please tick all appropriate names.
13. What would you say was your biggest fear or worry that led you to hire a doula? Did it play out as expected, and how did having a doula help work through that fear?
14. What specifically was the most helpful part of doula support and why?
15. What specifically was the most unexpected perk of having a doula?
16. Are there any areas that you feel your doula didn't offer information / services that you wish she would have?
Was there anything you were not happy about?
17. If a best friend was considering a doula, what would you tell them?
Is there anything specific you would recommend about DoulaCare Ireland doula?
18. How did your partner find having the support of a doula?
19. Would your partner consider leaving their feedback here?
20. Please select an answer to the following statements.
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Our doula answered our questions or referred us to an appropriate source.
Our doula conducted herself in a professional manner.
Our doula spent an appropriate amount of time with us.
Our doula was skillful and prepared.
21. Would you like to offer feedback on your doula(s)?
22. Would you refer DoulaCare Ireland services to others?
Yes
No
Maybe
23. If you were to have another baby, would you use DoulaCare Ireland again?
Yes
No
Maybe
24. Would you consider sharing your birth story with us? (Birth Doula Clients only)
If yes, please add it here, or email to info@doulacare.ie
Release & Acknowledgement
*
Please click on only one of the following options regarding us using your information.
