Meet The Doula Night

Meet The Doula Night

Breastfeeding Center of Greater Washington
Thank you for your interest in participating in our Meet the Doula Night. At the Breastfeeding Center of Greater Washington, we are dedicated to creating an inclusive and equitable space for families of all genders, identities, and backgrounds. To ensure alignment with our mission, please complete this questionnaire. Upon completion expect to hear from us about moving forward and signing up to participate in the event.
Name

First NameLast Name
Email
example@example.com
Share your pronouns if you feel comfortable doing so
Business Name (if you have a business!)
Website and social media handles
What type of Doula work do you do?

BirthPostpartumFull SpectrumOther
Values & Practice
How do you incorporate gender-inclusive language in your practice?
What steps have you taken to ensure your practice is anti-racist and culturally responsive?
How do you approach working with LGBTQIA+ families and individuals?
What does being trauma-informed mean to you, and how do you apply trauma-informed care in your work as a doula?
How do you handle situations where a client’s preferences, identity, or needs differ from your personal beliefs?
Training & Education
Have you completed any trainings related to gender inclusivity, anti-racism, or trauma-informed care?

YesNo
If yes, what trainings?
How do you ensure your educational materials (such as handouts, workshops, or conversations) reflect inclusivity for families of all genders and cultural backgrounds?
What is your approach to educating clients about their options in a way that is free from bias or judgment?
Commitment to Inclusivity
Please share an example of how you’ve supported a family in a way that honored their unique identity, culture, or needs.
What resources, tools, or approaches do you use to stay current with inclusive and equitable practices in your work?
Why do you feel aligned with the Breastfeeding Center of Greater Washington’s mission and values?
Optional Demographic Information
We aim to ensure diversity and representation in the doulas we feature. If you are comfortable, please share any identities or experiences that may bring unique perspectives to your work (e.g., race/ethnicity, gender identity, LGBTQIA+ identity, languages spoken, etc.):
By submitting this questionnaire, I confirm that I align with the mission and values of the Breastfeeding Center of Greater Washington. I understand that participation in Meet the Doula Night is contingent on this alignment.

I confirmI do not confirm
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Meet The Doula Night

Values & Practice

Training & Education

Commitment to Inclusivity

Optional Demographic Information