Is there anything you'd like to tell us about yourself, your pregnancy or your birth?

The form below asks you to explore your ideas and feelings about your "ideal" birth experience in greater detail. 

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Printable
Getting to Know You Better

Please print this out and mail or fax to:
Birth Doulas Of Marin   P.O. Box 336    Mill Valley, California  94942   Fax: (415) 388-9533 
Should a partner plan to be present, each partner should answer the questions below.

What was your initial response when you realized you were pregnant? Have there been any changes in your attitude or feelings since then?

If you have given birth previously, what was it like for you? Is there anything you would change if you could? Is there anything you would do similarly next time you give birth?

How do you envision the birth of this baby? What is important to you?

How have you dealt with pain in the past? How do you want to prepare for labor?

Who will be present at the birth?

During this birth, what do I need from myself?

What do I need from my partner?

What do I need from my doula?

Please feel free to add any additional information that you would like to share with us. If you have a written birth plan, please remember to include a copy with your registration.

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Please  return or fax to the address above, along  with your Registration and Guidelines & Fees forms.

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