First Name *

Last Name *

Phone *

Email *

To gather more information to better guide your during your session

What is your current role in the birth world? *

What are your goals? How would you like to be working? *

Is birth work your sole income or do you have other employment *

Are you a mother and/or have a carers role to work around *

Are you studying or have done any previous studies in this field? What have you done? *

What skills or knowledge do you wish to expand on? *

What do you feel like your current barriers to working the way you envision are? *

Do you have any fears or concerns working in this role? *

Do you wish to own your own business? What is your experience with this? *

What is your intention from our time together?

Any comments?

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