Natural Birth Coaching Application
with Naomi Strong
Name
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First Name
Last Name
Email
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Phone Number
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Format: (000) 000-0000.
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Natural Birth Coaching Application
with Naomi Strong
How many weeks pregnant are you right now?
*
Please enter the exact number of weeks (ex: 24 weeks)
Is this your first pregnancy? If not, how many pregnancies have you had?
*
1st pregnancy
2nd pregnancy
3rd or more pregnancy
Where are you currently planning to give birth?
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At home
Birth center
Hospital
I’m not sure yet
Are you planning to breastfeed?
Yes, absolutely!
No, I don't want to.
Indecisive, I'm not sure yet.
What have you already tried? (select all that apply)
Free YouTube and social content
A paid course
Doula
One-on-one coaching
Nothing formal yet
What exact problem are we trying to solve today?
*
What would you like to achieve in the next 90 days?
*
What are you most afraid of happening if you don't fix this now?
*
If this is the right fit, what are you prepared to invest?
*
Up to $1,000
$1,000-$3,000
$3,000-$5,000
Whatever it takes!
Instagram @name
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