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The Village Connect by Maternal Wellness Village

Thank you for your interest in joining Maternal Wellness Village’s newest program, The Village Connect! We hope to provide you and other Black moms in Philly with the support, education and community you need to have a positive pregnancy, birth and postpartum experience, and a healthy baby. Our program is offered to all Black women regardless of income and access to resources. The program includes:

Five group education sessions led by Village community doulas during your third trimester covering topics like nutrition and healthy eating, comfort measures in labor, and feeding your baby
Up to twelve individual virtual counseling sessions with Village therapists as well as mental health support groups through 6 months postpartum
Telehealth visits with Village Lactation Professionals to support you with breastfeeding or other ways to nourish your baby

Please answer the questions below if you are interested in participating. Someone from our team will reach out to you soon with more information.

Survey Start Time

M-D-Y H:M:S

What is your name?

* must provide value

What is your phone number?

* must provide value

Does this phone accept text messages?

* must provide value

Yes

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What is your email address?

* must provide value

What is your zip code?

* must provide value

How did you hear about our program?

* must provide value

How old are you?

* must provide value

Do you self-identify as Black or African American?

* must provide value

Yes

Are you currently pregnant?

* must provide value

Yes

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When is your due date?

* must provide value

D-M-Y

Where do you receive your prenatal care?

* must provide value

Where are you planning to give birth?

* must provide value

Please tell us where you plan to give birth

* must provide value

Are you planning to have a doula for your birth?

* must provide value

Yes

I don't know

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What program is your doula from?

Are you enrolled in a home visiting program (for example: Nurse Family Partnership and HealthyStart)?

* must provide value

Which program are you enrolled in?

* must provide value

Please tell us which home visiting program you are enrolled in

* must provide value

Do you have access to a device with audio and video abilities (such as a smartphone, tablet or laptop)?

* must provide value

Yes

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The program may be able to temporarily provide a device if needed.

Do you have regular access to the internet?

* must provide value

Yes

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The program may be able to temporarily provide internet access if needed.

Thank you for your interest in the Village Connect program. At this time, the program is designed to serve Black and African-American pregnant people. We would be happy to reach out to you in the future when similar programs become available. All the best to you with your pregnancy, birth and postpartum!

Thank you for your interest in the Village Connect program. At this time, the program is designed to serve Black and African-American people who are currently pregnant. We would be happy to reach out to you in the future when similar programs become available. All the best to you!

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