Let’s get to know you..

Name

First Name

Last Name

Age

Country/Time Zone

Choose your Journey

Will anyone be joining you on this Journey?

Please share their name and relationship to you

How many weeks pregnant are you?

Is this your first pregnancy?

Please share details about any previous pregnancies

If you have given birth before, please briefly share your experience(s)

What are your current top 3 beliefs about birth?

Please describe your dream birth

How do you want to feel, what do you want the experience to be like, where do you want to be and with whom

What other birth preparation have you done so far, or plan on doing?

What particular areas do you desire most support with?

Any fears, blocks or topics that spark excitement