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Name
Age
Email
Message
What brings you to this consultation?
First period/puberty support
Pregnancy or birth preparation
VBAC support
Birth plan creation
Postpartum recovery
Breastfeeding or baby care
Pelvic floor or core healing
Hormonal or cycle health
Fertility awareness
Perimenopause/menopause support
Emotional or holistic support
Other
If other, please specify
How are you feeling about this stage of your journey?
Is there anything specific you’d like us to focus on during our session?
Have you worked with a midwife or holistic practitioner before?
Yes
No
If yes, briefly share what the experience was like:
Anything else you’d like me to know before we meet?
Send
Name
Age
Email
Message
What brings you to this consultation?
First period/puberty support
Pregnancy or birth preparation
VBAC support
Birth plan creation
Postpartum recovery
Breastfeeding or baby care
Pelvic floor or core healing
Hormonal or cycle health
Fertility awareness
Perimenopause/menopause support
Emotional or holistic support
Other
If other, please specify
How are you feeling about this stage of your journey?
Is there anything specific you’d like us to focus on during our session?
Have you worked with a midwife or holistic practitioner before?
Yes
No
If yes, briefly share what the experience was like:
Anything else you’d like me to know before we meet?
Send