Nurture + Bloom — Postpartum Support Enquiry
Please fill out this form to help us understand your postpartum needs and support preferences.
About you
Full name
*
First Name
Last Name
Email address
*
example@example.com
What suburb or area are you in?
*
Baby's due date
*
-
Month
-
Day
Year
Date
Is this your first baby?
*
Yes, first baby
No — I have one other child
No — I have two or more other children
Your support situation
Do you have a partner at home?
*
Yes — they'll be home with me
Yes — but they work away or FIFO
Yes — but returning to work quickly
No — I'll be doing this solo
Other
Who else is in your support network?
*
How do you feel about your upcoming postpartum in general?
*
1 = not great; unsupported
1
2
3
4
5
6
7
8
9
5 = very good; well supported
10
1 is 1 = not great; unsupported, 10 is 5 = very good; well supported
What made you start looking for postpartum support now?
*
Your health and history
Are there any physical or mental health concerns I should be aware of?
*
Do you have any specific concerns around your upcoming postpartum period?
*
Are there any cultural, personal or family preferences I should know about?
*
What you're looking for
What kind of support are you most hoping for?
Practical in-home help — meals, household, errands
Emotional support and someone to talk to
Body work and/or herbal supports
Birth story processing
Gentle movement and body reconnection
Someone experienced to guide me through the fourth trimester
All of the above
Other
This is a working relationship based on deep trust and a willingness to receive. Do you have any concerns around this or concerns about having someone in your home?
*
A couple of practical things
Have you had a chance to look through the Nurture + Bloom service and pricing details on our website?
*
Yes — I've reviewed everything
I've had a quick look
Not yet — I'd like to discuss on our call
Anything else you'd like to share before we connect?
*
Yes — I'd love to receive tips, resources and support for my postpartum journey from The Lifestyle Remedy.
Submit
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