Name:
Address:
Date of interview:
Why did you become a doula?
Have you received training as a doula?
Have many hours did your training require?
Have you taken any continuing education since your initial training?
Are you certified?
Do you have current CPR certification?
Have you had a recent TB test?
Have you had a criminal background check?
How long have you been a doula?
How many births have you attended as a doula?
How many clients do you care for each month?
When did you attend your last three births?
Please give me their names and numbers for references:
What do you think is the most important part of your job?
How do you view your role as my doula?
Do you limit the number of births you attend each month?
Have you ever missed a birth because two babies were delivered at the same time?
How many mothers do you have who are due within three weeks either side of my due date?
What is your availability?
Do you have a cellphone or pager so that I can contact you?
When may I contact you?
Do you use email to receive and answer questions?
How often may I contact you during the contract period?
How often will we meet before and after the birth?
What topics will we cover during our meetings?
How many postpartum visits do you provide?
Do you work with a partner or student?
Do your colleagues share the same philosophy about pregnancy and birth as you?
If I have to use your backup doula, can I be sure that I will get the same quality of service?
Can I request or reject a doula for you to work with?
When do you go on vacation?
How do you view the main skills and abilities you bring to a birth?
How will you address any major physical, emotional or psychological concerns I may have?
What do you consider the role of the partner should be during labor?
How do the doctor, nurse or midwife usually react to your presence?
How do you manage a conflict with the medical team?
Will you attend a prenatal appointment with me to met my caregiver?
What are your thoughts about my:
Tell me about your experiences with:
When will you join me in labor?
Will you help me create a birthplan?
How do you view your role as a postpartum doula?
What is your experience as a postpartum doula?
What type of services do you offer?
May we meet to discuss my needs and the role you will fulfill?
When do your services begin postpartum?
What is your experience in providing breastfeeding support?
How do you schedule visits?
Do you meet with me prenatally?
NOTE: Since time is often short during initial consultations, you may wish to save the following questions for the office manager or billing department.
What is your fee?
What services does your fee include?
What are your payment arrangements?
Do you have a sliding scale?
Do you have a contract to ensure that I get the service I am expecting?
Does the doula seem knowledgeable?
Were you comfortable with the doula?
If he attended did the doula involve your partner in the discussion?
Did the doula listen to your questions and concerns?
Were you asked important questions about your birth philosophy, home and family?
Did the doula seem reliable and responsible?
Did you feel a sense of trust?
Is the doula support of your plans for the birth?
Is the doula kind, warm and enthusiastic?
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