Baby Belly Botanicals: LaborBoost Feedback

Your Name
(first name, last initial)
(e.g. Jane D.):

In which state do you live?

Are you a midwife or doula?

	Yes
	No

How many weeks pregnant were you/or your client when LaborBoost� was first used?

	Less than 38 weeks
	38 weeks
	39 weeks
	40 weeks
	More than 40 weeks

How far dilated was the cervix when LaborBoost� was first used?

	0 cm dilated
	1 cm dilated
	2 cm dilated
	3 cm dilated
	4 cm or more dilated
	Unknown

What percent effacement was the cervix when LaborBoost� was first used?

	0 � 25% effaced
	25% to 50% effaced
	50%- 80% effaced
	80% - 100% effaced
	Unknown

How often was LaborBoost� applied?

	Every hour
	Every 2 hours
	Every 3 � 4 hours
	Every 4 � 6 hours
	More than every 6 hours

How long before the contractions became more consistent or stronger?

	Less than 8 hours of use
	After 8 hours of use
	After 12 hours of use
	After 24 hours of use
	After 48 hours of use
	After 72 hours of use
	More than 72 hours of use

Do you believe LaborBoost� helped stimulate labor?

	Yes
	No

Did you like the scent?

	Yes
	No

Would you recommend LaborBoost� to a friend?

	Yes
	No

Can we use any comments you provide for our customer testimonial section ((Only your First name and First Letter of your last name will be displayed, ie: Jane D.)?