Click Here to Download the Family Statistics Form (PDF)

Dear End-of-Life Doula,

Lifespan Doula Association is working with a pair of researchers from the University of Buffalo (SUNY) who are interested in publishing a qualitative study on end-of-life doulas. We have already been approached by other researchers as well. We believe that collecting information on the development of the end-of-life doula profession will be extremely valuable for everyone involved, including trainers, hospice organizations, doulas and consumers. Ultimately, our goal is to mainstream doulas into end-of-life care in the U.S.

We hope that you will help us with this effort by submitting a Family Statistics Form for each client served. We want to know about every client with whom you interact, even if your services as an end-of-life doula were not engaged after an initial contact. If you spend an hour on the phone providing information to someone and that is all, please submit a form for that individual. We cannot emphasize how important the data collection is for the development of our profession and urge you to help us with this effort.

Your clients’ private information is not being collected by us. While some demographic information is requested, no names will be used—rather, you will assign a client identifier code on the form.

When completed, you can either mail the form to:

722 Brooks St., Ann Arbor, MI 48103


Scan the form, save as a PDF file, and email it to


Thanks so much for your help!

Merilynne & Patty