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Free consult.
Full Name
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First Name
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Phone Number
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Area Code
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Estimated Duedate/Guess Date
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Day
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Month
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Where do you plan on giving birth? Hospital? Birth center? Home?
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Type of doula service you are requesting
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Birth
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Bereavement
Placenta
How do you feel a doula/my services could be beneficial to you? What are your main goals?
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Please list availability (dates & times. Consults are 30 to 60 mins long & at a public place)
Please list any additional comments, questions or concerns.
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