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Incoming Doula Questionnaire
** Please note that you need to have already taken a formal doula training BEFORE this one.
These questions will help us get to know you a little better and explore more options to directly help your experience. Please take as much room as you need so you can paint an accurate picture of who you are. Everyone is welcome here and it is a judgment free zone! Once this form is completed, Emma will then send you a calendar link to sign up for your intake with Care(15 to 30 min via Zoom).
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Full Name
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Your answer
Pronouns
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Your answer
Email to best contact you with.
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Your answer
Phone number to best contact you with.
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Your answer
Address (Full address including city, state and zip code)
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Your answer
What Doula organization(s) have you trained with?
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Your answer
Date Trained
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Your answer
Doula Trainer
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Your answer
Any births completed?
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Your answer
Are you hired for any upcoming births?
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Your answer
Any births of your own?
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Your answer
What are your hobbies/favorite pastimes?
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Your answer
D
o you currently have a full time/part time job besides doula work?
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Your answer
Have you taken any other birth related trainings?
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Your answer
Have you ever run your own business before?
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Your answer
Do you have a website yet? If yes, please give it below.
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Your answer
Do you have a social media presence for your doula business yet? If so, what platforms?
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Your answer
What skills do you think you need on the business side of things?
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Your answer
What are your perceived weaknesses that you feel you bring into your business?
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Your answer
What
conversations are you most intimidated in having with your business(Fees and payments, money past due, personal boundaries, work boundaries, etc.)?
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Your answer
In the future, would you be interested in group Zoom mentoring work nights? (Time designated just to work on your business and be held accountable by each other)
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Your answer
What skills do you think you need on the doula side of things?
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Your answer
What strengths do you feel you bring to doula work?
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Your answer
What excites you most about doula work?
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Your answer
What is the most intimidating thing about doula work at this point?
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Your answer
Are there pieces in your birth education that you feel you need more understanding with? (ie:
dilation, effacement, descent, stages of labor, pushing, placenta, etc.)
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Your answer
What other parts of birth work do you want to add to your doula work? (lactation, education, postpartum, midwifery etc.)
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Your answer
Anything you want us to know about you?
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Your answer
We are so excited to start this educational journey with you!
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Your answer
Last step: Please fill out the
SignNow Media Release
, giving permission to record our call and all the content within the series. Once we have confirmed, we will send you a calendly link to sign up for your intake call!
I have signed the SignNow Form
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