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
Mobile number
*
Please enter a valid phone number.
Format: (000) 000-0000.
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
Who else is in your support network?
On a scale of 1–5 how supported do you feel about your upcoming postpartum?
*
1 = really under-supported
1
2
3
4
5 = I have lots of support around me
5
1 is 1 = really under-supported, 5 is 5 = I have lots of support around me
What made you start looking for postpartum support now?
*
Your health and history
Are there any medical conditions — physical or mental — I should be aware of?
Do you have any specific concerns around feeding, sleep, recovery or mental health?
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
Breastfeeding and feeding support
Birth story processing
Gentle movement and body reconnection
Someone experienced to guide me through the fourth trimester
All of the above
Do you have any 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?
*
Yes — I've reviewed everything
I've had a quick look
Not yet — I'd like to discuss on our call
Is there anything that might make committing to this investment feel hard right now?
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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