Evaluation of Postpartum Support

Name: Childbirth 1 2 3
Start: 2022-07-17T09:00:00+00:00
End: 2022-07-17T17:00:00+00:00
Location: Upper Marlboro, MD

Mother's Name*
Father/Partner's Name
Email*
Baby's Date of Birth
Postpartum Doula Name*
Were the techniques suggested by the postpartum doula helpful to the mother in handling the physical aspects of recovering from childbirth?*
Strongly disagree Disagree Neutral Agree Strongly agree
Were the techniques suggested by the postpartum doula helpful to the mother in handling the emotional aspects of recovering from childbirth?*
Strongly disagree Disagree Neutral Agree Strongly agree
Were the suggestions of the postpartum doula helpful for the father/partner and/or family members/friends present during each home visit?*
Strongly disagree Disagree Neutral Agree Strongly agree
Did your doula make you aware of relevant support groups and other personalized referrals based on your expressed needs following delivery?*
Strongly disagree Disagree Neutral Agree Strongly agree
Overall, how would you evaluate the usefulness of the recommendations made by your Momease postpartum doula?*
Strongly disagree Disagree Neutral Agree Strongly agree
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