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General Information |
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Primary & Secondary Languages: |
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Can you provide a reference at this time?: |
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How many miles are you willing to travel for a birth? |
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Phone number for initial contact? |
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Best hours to reach you for the client's initial contact: |
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How many years have you been providing labor support services? |
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How many births have you attended as of June 2011? |
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Will you attend home labors/births as well as hospital labors/births? Please explain your comfort level... |
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What is the maximum number of births you feel comfortable attending each month? |
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Training & Credentials |
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What are your current credentials & individual experiences with doula care & labor support? |
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Do you have any current plans for additional training? |
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Do you provide breastfeeding support & what is your basic theory of breastfeeding? |
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Do you typically provide postpartum support to your clients? |
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If yes to the previous question; for how long & what do you feel are your strong points in this area? |
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Miscellaneous Information |
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How many times do you typically meet with couples prior to attending their birth? |
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Do you provide a "whole house labor rehearsal" for your couples? |
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Do you assist with finding backup services in case you are unable to attend due to illness or sudden conflicts?
If not, would you encourage your couple to find a 2nd choice doula for backup? |
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If it felt "right" to you & your client, would you ever consider working as a team with another beginning doula to help her gain experience? |
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Is it ok for other doulas to contact you to help secure their own reliable backup? |
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How do you honestly feel about attending a birth for a couple you have never met either as a last minute doula or backup doula? |
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How do you describe yourself religiously? |
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How does your religion effect how you work with clients? |
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Do you provide a doula contract for detailed expectations of your care to be signed by all parties? |
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Have you ever worked with same sex couples? |
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