Congratulations on your new human and your exciting journey! I am so excited to accompany and support you and your family.

Please answer the following questions to the best of your ability as they help me to understand how I can best support you. There are many questions, so take your time.

Think of this as an opportunity to check in with yourself and your thoughts and feelings around your pregnancy and birth. Do not feel pressured to answer any questions that make you feel uncomfortable.  You can always type /// if you do not want to answer on this form. All information is private and confidential.

Anything can be discussed in further detail in person if preferred.