End-of-Life Doula Planning Session
Congratulations on taking this step! You are in the right place if you want help to create a strong and safe service to accompanying the dying. Please be as thorough as possible, then you will be guided session time. Thank you!
What describes your interest best?
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Please Select
I don't want to do this role professionally at all. That's not why I want to receive training.
I DO want to have my own service and/or educate in my community.
Where are you in your doula journey?
Please Select
I'm in research mode, just creating a game plan for now to begin my doula education in a few months.
I'm ready to go right now! The timing is right!
Done my research, know what I want but I need to wrap up a few things before I can begin training.
I'm brand new! I just found out about this!
What are your TOP 3 intentions within the next 3 months?
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From 1 - 10, rate your commitment level RIGHT NOW to create a personal end of life service or community education offering. 1 - least. 10 - most.
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1-4
5-7
8
9
10
What other end-of-life doula classes, training or certifications do you have?
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Your Name:
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First Name
Last Name
What is your best e-mail?
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example@example.com
What is your phone number?
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Please enter a valid phone number.
What is your time zone? (super important!)
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What is your 'day job' now?
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Please tell me what it would mean to you to have your own end of life doula service fully functioning and running smoothly. What will change in your life?
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Any high quality professional development opportunity requires a significant financial investment in yourself, of course. Is this feasible for you at this time in your life?
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Please Select
yes, I have the means to invest.
yes, I will need to move some things around.
Not right now, but I'm planning for it.
Do you have time within the next few days for a 45 minute - 1 hour call where you are able to be still, focused and in a quiet space (not driving and multi tasking)?
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yes
no
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