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Client satisfaction survery – mentored doula
Marie & Michaela Course Leaders
2025-01-16T17:40:50+01:00
Client satisfaction survey - mentored doula
Step
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Thank you for your time in filling out this questionnaire. We promise that everything you tell us in this questionnaire will remain only between you and us (mentors). Please be as honest as possible, as this feedback will be used to develop your chosen student doula on her path to certification. Please complete each question. You can return to the form after sending it. So if you cannot fill it in at once, send it partially filled in and then you will have the opportunity to return to it. If for any reason you do not want to fill out this form, please write to us and we can arrange a call. Thank you
Your doula
(Required)
Birth
Postpartum
Mentor
(Required)
Michaela Kalusová
Marie Ilkivová
Veronika Vlasáková
Dagmar Ludvíčková
Vendula Šrámková
Jana Barrera
Helena Tůmová
Martina Hetešová
Gabriela Švadlenková
Your doula's name & surname
(Required)
First name & surname
(Required)
First name
Surname
Email
(Required)
Phone number
Survey
How did you hear about doulas?
Why did you decide to have a doula? What kind of support did you expect from a doula?
How did you find your mentor doula? Did you choose between several doulas before you found yours?
How did this doula help/support you during your pregnancy?
Why did you choose this particular doula?
How did this doula help/support you during the birth?
What was her support and assistance immediately after the birth?
How did this doula support you in the postpartum period?
Do you think you would hire a doula again in the future?
Yes, definitely
Most likely
I am not sure
Probably not
Definitely not
What would you say to other pregnant couples about your experience with doula support?
Please give us specific details about your mentored doula. Consider her personality, knowledge, empathy and ability to support you in your wishes.
A partner's opinion on doula support during pregnancy and childbirth
How much did you pay for a mentored doula?
Please indicate if you would like your doula to use the information provided here as a reference for potential customers or in her flyer and website. The information will be used only for the described purposes. Potential customers usually welcome references and may also want to talk to you or send you an email.
I agree to the use of my comments on the website, for literature, for flyers or other promotion of doula work.
(Required)
Yes (with my first and last name)
Yes (with first name only)
Yes (anonymously)
No
Can potential clients contact you for a reference?
Yes
No
Can we (the mentors) contact you for a reference if we consider it important to improve the quality of the mentored doula's services?
(Required)
Yes
No
I agree to the processing of personal data
(Required)
Yes
No
Thank you for your time and congratulations on the birth of your baby!
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