Thank you for taking a few minutes to share your experience as a doula. Your responses will help us understand the current landscape of doula services, identify gaps, and build a supportive network for families in our region. This survey should take about 3 minutes to complete.

Question Title

* 1. Name

Question Title

* 2. Which of the following best describes your training?

Question Title

* 3. What organization did you receive your doula training from?

Question Title

* 4. Are you affiliated with a business/organization? If so, please list below:

Question Title

* 5. In which counties do you provide services?

Question Title

* 6. Do you currently accept Medicaid for your doula services?

Question Title

* 7. Would you or your organization like to be included in the Regional Doula Registry?

If yes, please provide your contact information below.

Question Title

* 8. Name/Organization/Business

Question Title

* 10. Phone

Question Title

* 11. What training, resources, or support would help you in your work as a doula?

Question Title

* 12. Would you be interested in collaborating on regional doula initiatives?

Have questions?
Reach out to jennifer.hatch@pivitalphp.org
Learn more about us here: https://pivitalphp.org/

T