Birth Partners Doula Evaluation Form




 










On a scale of 1-5 (5 being the highest rating), please rate your interactions with Carrie Copeland (coordinator) for the following:
Service Provided
Professionalism
Promptness
Knowledge and Ability
On a scale of 1-5 (5 being the highest rating), please rate your DOULA for the following:
Professionalism
Promptness
Knowledge and Ability
Appearance (neatly dressed and well groomed?)
Interaction with other family members
How comfortable were you with your doula?
How happy were you with the services Birth Partners provided?
Would you recommend Birth Partners to a friend?
If you are willing to act as a reference, what is the best way for potential clients to reach you?

Thank you! Your form has been submitted.