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Postpartum Client Evaluation Form
Thank you for allowing me to be a part of your postpartum experience. I sincerely hope that my services were beneficial for you and your family.  If you were dissatisfied with my services for any reason and would like to talk about it, please do not hesitate to contact me by phone or email. Thank you for taking the time to complete this evaluation. Your feedback will help me continue to improve the service I offer to families. 
How would you rate your overall experience having me as your postpartum doula?
How would you rate your interactions with me prior to initiating support? (initial contact; intake, contract and payment; scheduling & communication; prenatal meetings if any etc)
How would you rate the effectiveness of my support in addressing your physical, emotional and informational needs?
Would you recommend my services to another mother?
A picture is worth a thousand words, so I am grateful to clients who allow me to use photos of themselves and their babies in my advertising and promotional materials. If you have photos that may be used by Moon Willow Doula, LLC for this purpose, please choose the appropriate box and forward them to me at Thank you for your support.

Thanks for submitting!

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