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Tell Me What You Think

Name *

First Name

Last Name

Email *

Phone

(###)

###

####

When did you give birth?

What services did you receive?

Birth Doula

Postpartum Doula

Lactation Support

Birth Education

Placenta Encapsulation

Other

Survey

I felt supported and respected throughout our time together.

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

My doula communicated clearly and responded in a timely manner.

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

I felt confident and prepared for my birth because of the education and support I received

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

My cultural, spiritual and personal values were honored.

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

I would recommend Freedom Blooms Birth Services to a friend.

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

What was the most helpful part of your experience with Freedom Blooms Birth Services?

Was there anything you feel could have been done differently or better?

Are there any services you wish would have been offered?

Would you be willing to share a testimonial to be featured on my website or social media?

No

Yes, anonymously

Yes, with my first name

Would you like to be contacted about your feedback?

Yes

No

Thank you for taking the time to share your feedback.

Your thoughts mean so much to me and help Freedom Blooms continue to grow in meaningful ways. If you indicated that you'd like to be contacted about your feedback, I’ll be in touch within 3–5 business days. Wishing you continued strength, joy, and peace on your journey.