Initial Client Questionnaire

Your answers below will help me to support you on your unique Postpartum Journey.

Not all fields are required. The more information you can give me the better but if you do not know the answers to most of the questions please don’t be concerned, you will still receive a beautiful package no matter what.

Name

Email (this is your email, if it is a gift don't use the recipient's email or they will receive the invoice).

Contact Number

Delivery Address

Due Date

Are you breastfeeding/planning to breastfeed?

Birth details (i.e. c-section, vaginal, complications you are comfortable sharing with me).

Food allergies/intolerances or just general dislikes.

Do you have any cultural or religious background relating to postpartum which you would like to tell me about?

Do you have access to a bath at home?

Are you open to giving yourself a simple self-massage (details to be included in the package)?

Are you practicing any kind of belly binding (e.g belly wrapping, Tubigrip, compression shorts ect)?

Is there any physical or mental health history which you would like to share with me?

Any other details (e.g specific requests, current struggles, parenting preferences)?