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Question 1 of 11
Please enter your fullname.
Question 2 of 11
Please enter your email addres. (Your email will only be used for survey-related communication and will remain confidential.)
Question 3 of 11
Please enter your phone number.
Question 4 of 11
I would LOVE to hear from you about what services would be most valuable (and FUN!) to you as a birthkeeper
One on One Coaching
Group Coaching
Case reviews
Monthly deep dives into advanced topics
Weekly checkins
Monthly in-person classes
Workshops
Retreats
Guest Speakers
Self-guided study through an online course
Digital Customizable products I can use in my practice
Auditory Learning like podcasts, audiobooks
Books
Women's circles networking events
Question 5 of 11
What areas of birth-related work are your most passionate about n ow? Pick your top-3
Business Building
Prenatal Support
Birth Support
Postpartum Support
Fertility/ Loss Support
Virtual Support
Childbirth Education
Womb Healing
Deciding if I want to be a midwife
Work/ Life Balance
Creative ways to create income in the birth world
Creating a more holistic or spirit based practice.
Question 6 of 11
Other ( Please write in your answer)
Question 7 of 11
If you knew 100% you would be successful, how much money would you be willing to invest in your birth business this year?
0 - $50 a month
$50 - $150
$150 - $300
$300 - $500
More than $500 per month
Question 8 of 11
If you knew 100% you would be successful, how much time would you be willing to invest in your birth business this year?
less than 1 hour per week
1 -3 hours per week
4 - 6 hours per week
6 - 10 hours per week
more than 10 hours per week
Question 9 of 11
If you could have someone support you in becoming the birthkeeper you want to be, money and time were no object, what would that support look like?
Question 10 of 11
What else would you like me to know as I create my vision for supporting you in creating your vision?
Question 11 of 11
Thank you again for your time and input! Which free course would you like?
Womb Connection
Infant and Child CPR & Safety
Homebirth Childbirth Class
Birthkeeper Bootcamp