Doula Intake Form
Know exactly what your client wants before you have to advocate for it. Collect birth preferences, history, support needs, and who's in the room in one intake.
As a doula, you speak to medical staff on your client's behalf, often in moments when she can't advocate for herself. That only works if you know her preferences precisely: not that she'd prefer to avoid an epidural, but at what point she'd want you to check in, and who should be the one asking. Those details are hard to raise at a first meeting and impossible to gather once labor's underway. Typeform's doula intake form collects your client’s birthing preferences in advance, in their own words.
Clients share their due date, care provider, and what they want the birth to look like, along with anything they'd rather you take the lead on. A client who's given birth before answers about what happened last time during the birthing process, and what she'd want to happen differently, while a first-time client answers about what she's most uncertain about. Both respondents can explicitly name who they want in the room and who they don't.
You know what your client wants before you walk into the room—what she's afraid of, and when she'd want you to speak up. When a decision has to be made fast and your client can't answer for herself, you already know the right course of action.
A doula intake form is an online form clients complete before working with a doula, covering their pregnancy, preferences, and support needs. It collects the due date and care provider, birth preferences, previous birth experiences, who they want present, and the practical details of their household. Doulas use these forms to know their client's birthing preferences in advance, instead of guessing at them in the moment.
Without a doula intake form, you learn a client's birthing preferences in conversation and try to recall them weeks later. Details fade, and details are what you need at three in the morning: which interventions they want raised first, what phrasing steadies them and what doesn't, whether they want their mother in the room. A doula intake form holds their answers in their own words, so you advocate for what they actually asked for.
Cover what supporting a birth depends on:
- Due date and care provider
- Birth preferences and priorities
- Previous birth experiences
- Who they want present
- Postpartum support they'll want
It's worth asking them separately. A partner often has their own picture of how they want to be involved, and it doesn't always match what the mother wants—a misalignment that is better discovered beforehand than in the operating room. Ask the partner what they want to take responsibility for and what they'd rather hand to you.
Ask on the form, before you meet, and don't require an answer. A client who had a traumatic birth rarely wants to tell that story to someone new across a table, but some may feel comfortable to write a few sentences at home, where they can stop and start as they feel comfortable. What they write shapes how you talk about pain relief, who you keep out of the room, and when you step in. Make the question optional, explain why you're asking, and let the client decide whether to revisit it in person.
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