Birth Plan Survey Step 1 of 4 25% Hi there! I'm Nicole Rankins, an ob/gyn physician and health and wellness coach. I'm seeking feedback from women about making birth plans. Thank you for completing my survey. It should take less than 5 minutes. All information is confidential and never shared with anyone else. Fill out as much as you feel comfortable with. If you don't want to answer a question you can say N/A or "no response". And if you have a burning question about giving birth, there's a spot at the end of the survey for you to send me your question. No matter the question, I'm happy to answer! I wish you a safe and fulfilling birth experience!Are you going to create a birth plan (or birth wishes/preferences) for your upcoming birth?*YesNoYou're done! Please exit from the survey using the X at the top of your browser window. Thank you for your time! How important is it to you to make a birth plan?*Not important at allA little importantOf average importanceVery importantAbsolutely essentialWhat resources are you using or planning to use to make your birth plan?*Choose all that apply. Website(s) Books(s) Doula Friends/family Your physician Your midwife What website(s) and/or book(s) are you using or planning to use?If you can't remember the exact name of websites or books that's ok; just list as much you can.What resources are working well for you to help you make your birth plan?*Choose all that apply. Website(s) Books(s) Doula Friends/family Your physician Your midwife I haven't started working on my birth plan yet. Nothing I've looked at has been helpful. What website(s) and/or book(s) are working well?If you can't remember the exact names that's ok; just list as much as you can.What resources are NOT working well for you to help you make your birth plan?*Choose all that apply. Website(s) Books(s) Doula Friends/family Your physician Your midwife I haven't started working on my birth plan yet. Everything I've used has been helpful. What website(s) and/or book(s) are NOT working well?If you can't remember the exact names that's ok; just list as much as you can. What's your biggest frustration about making a birth plan?*What's making your birth plan costing you in terms of lost time and aggrevation?*What's a dream solution for you to help you make your birth plan?*What else would you like to share about the process of making your birth plan or any thoughts for practicing physicians/midwives about birth plans?* Help With Your Birth PlanI’m a board certified ob/gyn hospitalist physician and certified health and wellness coach. I have the pleasure and privilege of spending all of my clinical time delivering babies! I’m a big believer in low intervention birth and supporting women’s choices in childbirth. I'm developing a service for expecting moms (delivered by phone or video chat) that includes the items below. THIS IS NOT A SALES PITCH. I'm simply seeking feedback about whether this is something you think is worthwhile. Program features: - I help you clarify your vision for your birth and the things you value about your birth experience based on YOUR desires (and not those of magazines, books, blogs, friends, or family) (1 hour) - I provide you with a detailed questionnaire to help you think through everything you could imagine about your birth experience. You do the questionnaire at your own pace and it provides all the information you need to make decisions about what you want for your birth experience. I’ll review your responses with you and answer your questions to make sure you’re confident and prepared for your birth. (1 hour to review responses and answer questions) - I’ll use your responses to the questionnaire to write your birth preferences for you, or if you'd prefer to write them yourself I'll give you a template to follow. - I’ll review your preferences with you to make sure your wishes are accurately reflected. As a practicing ob doctor, I’ll be sure your plan (whether written by me or you) is done in a way that is easily accepted and understood by medical staff. (30-45 minutes) - After you have the baby, I’ll help you process your birth experience. (30-45 minutes) - I’ll give you a checklist of critical items to ask your care provider and hospital. - I’ll give you a checklist of things your partner should do.Is this something you'd be interested in?*YesNoHow much would you be willing to pay for these services?*$300 - $399$400 - $499$500 - $599$600 or moreWhat don't you like about it?*Sometime in mid to late August I’ll be offering my program for free to a few women in exchange for testimonials about the service to be used on my website. If you’re interested in being one of these women, please include your first name, email, and due date below so that I may contact you. I’ll keep your information private and won’t use your email for any other purposes. Thank you! Name First Email Enter Email Confirm Email Due Date What's your burning question about giving birth?Maybe it's too embarrassing to ask your provider or there hasn't been enough time in your office visits. No matter the question I'm happy to answer! Just enter it below and I'll get back to you! Be sure to enter your email address below so I know how to send you the response.EmailI will only use your email to respond to your question.