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Information Form
Nursing babies and young children are welcome. Because this is a transformational experience for mothers, we may explore childcare support options depending on the ages and needs of participating children.
Contact Info
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Instagram handle
Are you interested in:
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Are you interested in:
A
Intimate Group Container
B
1:1 Mentorship
C
Both
What are you most longing for support with right now?
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(Check all that apply)
What are you most longing for support with right now?
Rebuilding core strength
Pelvic floor healing
Back, hip, or pelvic pain
Nervous system regulation
Emotional Support and Community
More Energy
Feeling Strong in my body again
Reconnecting with myself in a way that feels inspiring
Consistent Movement Practice
Confidence in my body
Other
What has felt most challenging in this season of motherhood and throughout your postpartum journey?
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If this program was incredibly successful for you, what would feel different in your life by the end of six weeks?
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What would make it easier for you to participate consistently?
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(Check all that apply)
What would make it easier for you to participate consistently?
Babies welcome
Childcare Support
Flexible Payment options
Afternoon Classes
Morning Classes
Recorded Resources
Accountability Partner
Smaller Group Size
Other
Will you be bringing a child with you?
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If yes:
What ages (s) will your keiki be during this program?
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Would you be interested in optional childcare support if available?
If you plan to bring your child, what support would help you participate most fully?
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Are you currently breastfeeding?
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Are you currently breastfeeding?
A
Yes
B
No
If Yes:
How would you describe your current breastfeeding season, and is there anything you'd like me to know about how it's impacting your body, energy, emotions, or recovery?
As I shape this first offering, what would make "Reclaim Your Core" feel truly supportive and valuable to you?
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Anything you'd like me to know?
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Submit
