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MENTORSHIP SESSION
First name
*
Last name
*
Phone
*
Email
*
Birthday
Year
Month
Month
Day
Address
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Are you...
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Wanting to become a doula
Already a doula
Other
If other, tell us!
Have you taken any doula training? If yes, who with and when?
What do you feel you need the most help with?
What has been your biggest challenge with this journey?
What are your doula career goals?
What interests you about doula work?
What made you interested in wanting to meet with us?
Are there any specific topics you want to discuss during our time together? If so, what are they?
If you have any specific questions you want addressed, please put them all below:
Would you prefer to meet online or in person?
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In Person
Online
Please select session length:
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1 hour - $50.00 + gst
2 hours - $100.00 + gst
3 hours - $150.00 + gst
What is your availability?
Weekday Mornings
Weekday Afternoons
Weekday Evenings
Weekend Mornings
Weekend Afternoons
Weekend Evenings
If you have specific availability, please put it below:
We promise to keep all information above and shared within our session private and confidential - we ask that you do the same.
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I agree
I disagree
We require payment to be made upon booking the session date and time. All payments can be made to motherhoodmattersinfo@gmail.com and you will be invoiced after a time is booked.
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I understand
In such events that a session needs to be cancelled, no refunds will be given after payment has been made however we will promptly reschedule to ensure our time together is fulfilled.
*
I understand
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