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The Doula Association
About BirthBliss
About BirthBliss
The Doula Association
Contact
Antenatal Course
Doula Course
Course content
Dates and venues
Cost and payment options
Enrol NOW!
Testimonials
FAQs
BirthBliss Doula Gallery
Accreditation Programme
Doula Coaches
Find A Doula
BirthBliss Shop
Tee & Tote Store
Free stuff
My Blog
#ButNotMaternity
The Doula Association
Thank you so much for your interest in being a pilot tester for the Your Birth, Your Way Programme! Please fill out this form to apply:
*
Indicates required field
Name
*
First
Last
Email
*
Job title
*
Your baby's estimated due date:
*
Is this your first baby?
*
Yes
No
What are your reasons for wanting to do this pilot programme?
*
On a scale of 1-10, how important is it to you to know all your options in childbirth?
*
1
2
3
4
5
6
7
8
9
10
Are you willing to fill out a survey at the end of each week and be available to providing feedback?
*
Yes
No
Are you willing to be provide a recorded testimonial about your experience with this program?
*
Yes
No
Thank you and good luck!
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