Birth Doula Client Testimonial Form

Your name as you'd like it to appear on a published testimonial (Jane Doe, Jane D., Jane, J.D., etc.) *

Baby's name as you'd like it to appear on a published testimonial (Baby Emma, Baby E, Baby Doe, etc.) *

Your city *

Your email (this is for our contact purposes only and will not be published/shared/added to Aunt Sue's not-funny chain email forward list) *

Your role in the birth *

• Birthing person
• Partner/spouse
• Family member/friend

Which doula(s) did you meet with prenatally?

• Laurel Bake
• Marci Miller

Which doula(s) attended your labor/birth?

• Laurel Bake
• Marci Miller

Which doula(s) did you meet with postpartum?

• Laurel Bake
• Marci Miller

What would you say was your biggest fear or worry about birth that led you to hire a doula? Did it play out as expected and how did having a doula help you work through that challenge, or others you encountered along the way?

If a best friend was considering a doula, what would you tell them? Is there anything specific you recommend about your doula(s)?

What was the return on your investment in doula care? What part of doula care was most valuable to you?

I give permission for Laurel Bake, Marci Miller and/or Palouse Women's Wellness to publish this testimonial both online and in print for the promotion of their services. I acknowledge that my testimonial may be used in part or in whole. I give permission for my name, and baby’s name and city to be included as they are provided above. *

• I consent to this release

(Optional) I give permission for Laurel Bake, Marci Miller and/or Palouse Women's Wellness to publish a photo or photos of myself, my baby and/or additional support people during pregnancy, labor, birth or postpartum, both online and in print for the promotion of their services. I will provide any images I release by emailing them to hello@palousewomenswellness.com. I acknowledge that my photo(s) may be edited for size, color, etc. as necessary.

• I consent to the use of my photo(s) and will email them to hello@palousewomenswellness.com

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Submit Testimonial

2017-05-31