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Birth Partners Doulas Feedback Form

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On a scale of 1-5 (5 being the highest rating), please rate your interactions with Carrie Copeland (coordinator) for the following:

Carrie's Professionalism
Carrie's Promptness
Carrie's Knowledge and Ability

On a scale of 1-5 (5 being the highest rating), please rate your DOULA for the following:

Doula's Professionalism
Doula's Promptness
Doula's Knowledge and Ability
Doula's Appearance (neatly dressed, well groomed)
Doula's interactions with other famly members
How happy are you with the services provided?
How comfortable were you with your doula?
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