Evaluate Your Baby's Doula
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Evaluate Your Baby’s doula
Top of Form
- Client's Name *
First
Last
- Dates you used service (month and year) *
- Baby doula’s Name *
First
Last
- How did you find out about Passionatebirths? *
- Do you have any suggestions that would help us improve our services for future clients?
- List the three things you liked most about using Passionatebirths doulas and baby care.
- List three things you liked most about your Baby doula.
- On a scale of 1 to 5 how would your rate your satisfaction with the quality of your care?
5 - Excellent4 - Good3 - Average2 - Poor1 - Horrible
- Explain your answer:
- If you could improve one thing about your Baby doula what would it be? Explain:
- Any other comments?
