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Intentional Mamas Interest Form
Emilie Counseling is excited to be hosting our Intentional Mamas group at Sweet Pea's Studio! Please share your information and we'll get back to you as soon as possible with more details. Thanks!
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First Name
*
Your answer
Last Name
*
Your answer
Email Address
*
Your answer
Are you pregnant or under 1yr postpartum?
Pregnant
Postpartum
Both
Neither, but I'd be interested in a similar group for mamas more than 1yr postpartum
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Please share gestational age of this pregnancy (# weeks pregnant you are) and/or age of baby or babies.
Your answer
Please share briefly about what you would hope to accomplish or experience by participating in this group.
Your answer
Please share any concerns you have about attending 6 consecutive sessions of the Intentional Mamas group at Sweet Pea's Studio in Ravenswood, scheduled weekly on
Tuesdays from 11a-12p.
Your answer
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