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Interested in Birth Doula Services
Hi there! I'm so excited that you are interested in learning more about doula services! Once you fill out this quick form, I will connect with you to schedule a meet-up or call--whichever you prefer.
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* Indicates required question
What is your name?
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Your answer
What are you looking for support with?
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Pregnancy and birth support
Pregnancy, birth and postpartum support
Just some more information/answers to some questions
Someone to share previous birth stories with
Other:
I work within a 45 mile radius of Kent, Oh (44240); do you live within this radius?
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Yes
No
If you are currently pregnant, when is your due date?
MM
/
DD
/
YYYY
What is the best number to reach you at?
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Your answer
What is the best email for you?
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Your answer
What is your preferred method of contact?
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Text message
Email
Phone call
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