Mindful Parents Connection Course Client Questionnaire

This form is to help me to get to know you and your family a bit better prior to starting the Mindful Parents Connection Course. It helps me to tailor our sessions to the parents in the group. There is no pressure to share anything you don’t want to, and all questions are optional except for your contact information.

All responses and information shared during our discussions are strictly confidential and all paperwork including this completed form are kept in accordance with GDPR regulations. Please complete and return this form a minimum of 24 hours before your first session to enable me time to prepare for our time together. If you experience any issues with this form, please email me at info@themilkhub.co.uk

For attendees with more than one child, this question relates to the baby or babies you are currently feeding (feeding meaning breastfeeding, pumping or combi-feeding). This might include tandem feeding older children, or feeding multiples (twins, triplets etc).
Please include the ages of all the children you are currently feeding.
E.g. husband, wife, partner, friend, parent, etc.
This might include how your baby/babies arrived (e.g. induction, assisted birth, c-section etc), and if there were any medical concerns for you or baby. You can also include details of how you feel about the birth if you would like to share them.
Thank you for taking the time to complete the questionnaire, I know it is quite long! The more detail I have prior to the session means the more time we can focus on tools and techniques for you.