About you and your support

First name

Last name

Primary support person and relationship to you

Address

Phone

Birth & relevant Health Information

When was baby born / Guess date?

Was the birth as planned? Were there any complications that are relevant that will help me support better?

Are there any medical conditions or physical needs (yours or baby’s) that I should be aware of?

Feeding & Baby Care

How are you planning to feed your baby? (Breastfeeding, formula, combination, not sure yet) - This question comes without judgement, it helps me support you in your choice

Is there anything you’d like help with regarding newborn care (e.g., bathing, changing, settling)?

Are there any current concerns or challenges with the baby (e.g., sleep, colic, reflux)? or any concerns you can forsee?

Support & Dynamics

Are there specific ways you feel most supported emotionally (e.g., being listened to, encouragement, practical help, not sure yet?)

Scheduling & Logistics

The following is my current availability. Hours are the total available, we can discuss which hours work best for you. (depending on location I may be able to start at 9:30am and leave at 3pm)

Please suggest additional dates and times that you would like, but may not be listed, but i may be able to make work. for example, for planned c section, partner night away, preparing for family visits etc.