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Private Birth Art Pre-Session Questionnaire

Please complete this brief questionnaire before your birth art session. This will allow your facilitator to prepare the best option for your birth art process.

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Would you prefer the session(s) to be held in-person or virtually?
Do you prefer to do a drawing or work with clay?
If you have opted for multiple birth art sessions, you can select both.
Are any participants currently pregnant?
Have any participants previously given birth?
Are any participants currently parenting children?
Are any participants currently or have previously been a perinatal professional?
A perinatal professional includes OB/GYN, midwife, nurse, doula, lactation consultant/counselor, massage therapist, chiropractor, acupuncturist, fertility specialist, etc. Anyone who professionally services pre-conception, pregnant, and/or postpartum people.
Name of Primary Contact
(Optional) Used for communication about event information.
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