Labor Doula ReviewThank you for taking the time to tell us about your experience with NOVA. Your response will be sent to NOVA Management, not your individual doula. Name * First Name Last Name Email * Who was your Doula? * What were your reasons for wanting a doula? * What did you enjoy about having a doula? * Did you feel that the education you received from your doula helped to prepare you for childbirth? If so, in what ways? * Do you believe your doula helped you have realistic expectations of the birth process? Explain :) * Please rate how you felt BEFORE your birth Before birth, I felt ______about birth. * Very Confident Somewhat Confident Not Confident, but not afraid Somewhat Afraid Very Afraid Before birth, I felt _______ birth * Very Positive Somewhat Positive I didn't feel negative, but not positive either Somewhat Negative Very Negative Before birth, I felt _________. * Very Prepared Somewhat Prepared Not unprepared, but not prepared either Somewhat Unprepared Very Unprepared Informed Choice Do you feel that you were informed about the choices you made during your birth? How could you have been better informed? * Please rate how well your doula helped with the following areas (1=Poor, 5=Excellent) My doula's availability and commitment. * Please select below 1 (not very available & low commitment) 2 3 4 5 (very available and very committed) My doula's knowledge of normal labor * Please select below 1 (Not very knowledgeable) 2 3 4 5 (very knowledgeable) My doula's assistance with comfort measures * Please select below 1 (not helpful) 2 3 4 5 (very helpful) My doula's communication with me * Please select below 1 (did not communicate well) 2 3 4 5 (communicated very well) My doula's communication with care providers * Please select below 1 (did not communicate well with my care providers) 2 3 4 5 (communicated very well with my care providers) Suggestions for comfort and/or progress * My doula's support of my (mother's) wishes * Please select below 1 (not supportive) 2 3 4 5 (very supportive) My doula's physical support measures * Please select below 1 (not helpful) 2 3 4 5 (very helpful) My doula provided _____ emotional support and reassurance. * Please select below 1 (poor) 2 3 4 5 (exceptional) My doula's image was ______. * Please select below 1 (unprofessional) 2 3 4 5 (very professional) How could your doula have been more effective... ...during your baby's birth? * ...after your baby's birth? * If you have another baby... Would you hire a doula again? * YES Maybe NO Reference & Review May your doula use you as a reference for women she serves in the future? * YES NO If you'd like to offer a full review, please write about your experience with NOVA Birth Services Below: Does NOVA have permission to publish your review on our website? * YES YES, but please only use my first name YES, but please use anonymous NO Thank you for completing the NOVA Doula Support Evaluation! Your feedback will influence the way we support women and their families in the future.
