Who will be your primary overnight support during the first 6 weeks?
My partner, and they are able to help overnight
My partner, but they are not able to help overnight
I am a single parent
A family member will help overnight
I will be the only one caring for the baby overnight
When does your partner plan to return to work?
0–2 weeks after baby arrives
3–4 weeks after baby arrives
5–8 weeks after baby arrives
9+ weeks after baby arrives
Not applicable / no partner
Do you have local family or friends who can consistently help overnight?
Yes — 2 or more nights per week
Yes — about 1 night per week
Yes — but the help isn’t reliable
No — we don’t have anyone who can help overnight
How do you plan to feed your baby during the first month?
Exclusively breastfeeding
Breastfeeding + pumping
Combination feeding
Exclusively formula
I’m not sure yet
When you think about bringing baby home, how would you describe your overall stress level?
I feel very anxious
I feel somewhat anxious
I feel mostly confident
I feel confident and I’d like professional support to make things smoother
I haven’t really thought about it yet
Are you expecting one baby or more than one?
One baby
twins or multiples
How many hours of uninterrupted sleep would you
ideally
like to get during the first month?
7–8 hours
5–6 hours
3–4 hours
I honestly have no idea
I just want whatever sleep I can get
Who will handle most household tasks during the first 4–6 weeks?
We have a housekeeper/cleaner who will handle most of it
My partner will handle most household tasks
Family or friends will help with some tasks
I will handle most household tasks myself
I will handle all household tasks myself
Do you have any medical or pregnancy factors that may affect your recovery?
Planned C-section
High-risk pregnancy
Expecting a routine delivery
Unsure
Prefer not to answer
Will you be caring for any older children during the postpartum period?
Yes — one child
Yes — two or more children
No — this is our first baby
How comfortable are you asking for help when you need it?
Very comfortable
Mostly comfortable
Somewhat uncomfortable
Very uncomfortable
I usually push through even when I’m overwhelmed
What matters most to you during the first 6 weeks home?
Rest and recovery
A calm and structured transition
Hands-on guidance from an expert
Feeling supported emotionally
Sleep — for everyone
I’m not sure yet
Where should I send your results?
*
example@example.com
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