ONLINE QUESTIONNAIRE

Please take a moment to fill in our online questionnaire

ONLINE QUESTIONNAIRE

WRITEA BOUT HERE TEXT BLH BLAH dfghnjp ;'lkmjnhbgvfcderftgyhujikolp; mklkiuytredsfghjklkjhbgvfcdsertyuiol

Questions here

INTAKE QUESTIONNAIRE

PSYCHOLOGY FIRST

What are your motivatios for having a homebirth?

What beliefs do you hold about pregnancy, labour, birth and breastfeeding?

What information do you feel is 'missing' from your understanding of physiological labour and birth?

What does a 'healthy' pregnancy mean to you?

In what ways does your mind/emotions/spirituality manifest in your body?

What is your relationship like with your body? How do you perceivce it?

What are your fears in regards to pregnancy, birth and postpartum?

Anchor 1

EXPLORATION

First Name

What resources have you utilised so far in your journey? i.e. courses, practioners, books, freinds, internal knowledge, etc.

What have you found helpful and why?

How are the beliefs you carry about yourself influencing your journey so far?

What does taking 'radical responsibility' mean to you?

Do you have any 'stuck points' in life?

How do you make decisions? i.e. from gut instinct, collating information, 'sleeping on it' etc.

Anchor 2

INDEPENDENCE

First Name

How do you view the role of your midwife through this journey?

How do you view the role of medical practioners through this journey?

How do you view the role of your midwife through this journey?

What are your valuess and knowledge around assessing sources of information? Do you value experiental information?

Thank you!

How do you think independence will serve you in pregnancy, birth, and postnatally?

How do you make decisions? i.e. from gut instinct, collating information, 'sleeping on it' etc.

CONNECTION

How are your nearest and dearest reacting to the pregnancy, and what does this mean to you?

Is there generational trauma in your family?

Do you have a mindfulness or meditation practice? Please detail.

What sort of small rituals do you build into your day?

How could you incorporate a mindfulness ritual in the early days of parenting?

Do you believe pregnancy, birth and postpartum can be a spiritual rite of passage? Why/why not?

Anchor 3

Anchor 4

INTAKE QUESTIONNAIRE

INDEPENDENCE

First Name

How do you view the role of your midwife through this journey?

How do you view the role of medical practioners through this journey?

How do you view the role of your midwife through this journey?

What are your valuess and knowledge around assessing sources of information? Do you value experiental information?

Thank you!

How do you think independence will serve you in pregnancy, birth, and postnatally?

How do you make decisions? i.e. from gut instinct, collating information, 'sleeping on it' etc.