Alternative Pathway feedback We hope you enjoyed our Doula UK Alternative Pathway Workshop. We welcome your feedback. Please complete this short form: Alternative Pathway Feedback About You Name Email Phone Alternative Pathway Workshop Date/s of workshop Module/s completed Doula UK Course Facilitor Feedback Please use this space to provide us with any feedback you would be happy to share about the Doula UK Alternative Pathway Workshops Would you be happy for us to share your feedback to promote our course on our website and on social media? Yes please use my feedback and credit me by first name Yes please use my feedback but I would prefer to be anonymous No I do not give permission for my feedback to be shared Joining Doula UK Have you joined Doula UK? Yes Not yet but I intend to No If yes, when did you join Doula UK? Your Doula UK profile link Who is your Doula Mentor For birthFor birth For postnatalFor postnatal I do not have a mentor yet if you are only being mentored for one, leave the other field blank If you do not intend to join Doula UK, please give us a brief reason Thank you for answering these questions. Is there anything else you'd like to add? Your Name White 1. English / Welsh / Scottish / Northern Irish / British 2. Irish 3. Gypsy, Roma or Traveller 4. Any other White background, please describe4. Any other White background, please describe Mixed / Multiple ethnic groups 5. White and Black Caribbean 6. White and Black African 7. White and Asian 8. Any other Mixed / Multiple ethnic background, please describe8. Any other Mixed / Multiple ethnic background, please describe Asian / Asian British 9. Indian 10. Pakistani 11. Bangladeshi 12. Chinese 13. Vietnamese 15. Any other Asian background, please describe15. Any other Asian background, please describe Black / African / Caribbean / Black British 16. African 17. Caribbean 18. Any other Black / African / Caribbean background, please describe18. Any other Black / African / Caribbean background, please describe Any other background not listed, please describe What is your age? 18-24 25-39 40-54 55-65 +65 What is your gender? Female Male Non-binary Transgender Intersex Gender nonconforming I identify as:I identify as: What is your sexual orientation? Straight Bisexual Gay I identify as:I identify as: Do you consider yourself to have a disability? Yes, I am registered as disabled Yes, but I am not registered as disabled I am not disabled, but have a long-term or chronic health condition No, I do not have a disability or health condition If you are human, leave this field blank. Submit Thank you!