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* 1. Your Initials (First, Middle, Last)

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* 2. Age

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* 3. Ethnicity

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* 4. If you consider yourself multi-racial of multi-ethnic please indicate it here.

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* 5. What is your main reason to become a Doula?

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* 6. How would you rate your awareness or understanding of the role of a Doula?

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* 7. How would you rate your awareness or understanding of the stages of labor?

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* 8. How would you rate your awareness or understanding of comfort measures used during labor?

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* 9. How would you rate your awareness or understanding of maternal health resources? (Breast pump, sleep training, belly binding)

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* 10. How would you rate your awareness or understanding of healthy nutrition for pregnant or postpartum individuals?

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* 11. How would you rate your awareness or understanding of ways to advocate for your clients and their families?

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* 12. How would you rate your awareness or understanding of creating a birth plan?

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* 13. How would you rate your awareness or understanding of the reasons for and procedure of a Cesarean section?

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* 14. How would you rate your awareness or understanding of creating a Cesarean Section postpartum care plan?

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* 15. How would you rate your awareness or understanding of the difference between baby blues and postpartum depression?

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* 16. Do you plan to become a qualified Community Doula Medi-Cal Provider?

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* 17. How important is it to you to be trained by a Black/African American or a culturally congruent Doula of Color?

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* 18. How important is it to you to have the opportunity to attend ongoing Medi-Cal Provider support events?

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* 19. How important is it to you to have the opportunity to attend ongoing Medi-Cal Provider billing support events?

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* 20. Do you plan to be a full time or part time Doula?

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* 21. How many births do you plan to attend a month?

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* 22. What professional challenges do you anticipate that you may experience as a Black/African American Doula or Doula of Color?

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* 23. Do you plan to be an independent contractor?

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* 24. Do you plan to join a Birthing Collective or Agency?

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* 25. Where did you first learn about Doulas?

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* 26. Have you personally ever had a Doula?

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* 27. Thank you for completing this survey. If you would like to be entered into a raffle for a $50 Amazon gift card please send your email address and "RAFFLE" to truthispower625@gmail.com by April 20, 2024.

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