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Apply for Postpartum Doula Support
First name
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Last name
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Email
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Phone
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Address
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Talk to me Mama!
Are you currently pregnant?
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Yes!
Yes and with twins!
No but trying to get pregnant
No because I just gave birth!
If you are pregnant, when is your due date?
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What is your birthdate?
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Are you partnered?
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Yes
No
If yes, what's your partners name?
Have you welcomed a little one into your family before? If yes, how many children do you have?
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What do you know about postpartum?
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How did you hear about us?
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What is your vision for your sacred postpartum season?
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Are you currently able to invest in postpartum support and nourishment for you and for your family?
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Anything else you'd like to share? Do you have any questions for us?
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Are you interested in: (check all that apply)
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Herbal Remedies (yoni steams, sitz baths, padsicles)
Birth Integration Therapy
Postpartum Meal Service
Bodywork (massage, Craniosacral, Abyangha)
Belly binding
Ayurvedic Rituals
Closing Down the Bones Ritual
Mothers Blessing
Lactation Support
Sleep Support
Energy Work
Sound Healing
ALL of the above
I'm not sure yet
Submit
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