EmailMe Form - Natal Hypnotherapy Postnatal Feedback

Name
First Last
Your information is NOT given to anyone else and is only used in accordance with our privacy and data policies, to provide you the services you have requested. Please see our privacy policy https://www.natalhypnotherapy.co.uk/shop/Privacy-Policy.html
Your baby's date of birth. *
DD / MM / YYYY
Your baby's place of birth
Enter the name of your birth centre, hospital or for home births enter 'home'
How many children do you have?
Did you use Natal Hypnotherapy to prepare for birth? *
Yes
No
Which products did you use? *
Attended a Natal Hypnotherapy Class
Effective Birth Preparation Book
Effective Birth Preparation (Hospital/ Birth Centre)
Birth Preperation (Home)
Prepare for a caesarean
VBAC
Relaxing Birth Music
Labour Companion
Online Hypnobirthing Class by Natal Hypnotherapy
Other Hypnobirthing Class/Method
Practitioner name (if you did a class)
If you attended an NH Hypnobirthing Class, please confirm the name of the practitioner?
Did you use any of the following for your birth? *
Nothing
TENS
Epidural
Pethedine
Induction
Caesarean
Ventouse/Forceps
Yoga
Massage
Aromatherapy
Reflexology
Water Pool
Gas and Air

Please select your response to the following statements.

	Did not help at all	Occasionally helpful	Helpful some of the time	Helped a lot	Helpful most of the time	Extremely helpful
Feeling relaxed before the birth
Overcoming fear
Increased trust and belief in my body
Feeling calm during the birth
Ability to manage the pain
Feeling in control

Did you benefit from Natal Hypnotherapy? *
Yes
No
How much impact did it have? *
No impact
Not much impact
It made a difference
It made a big difference
It made all the difference
Please help us understand why you selected this answer
Would you recommend Natal Hypnotherapy? *
Yes
No
Any particular reasons why?
Would you be happy for us to reproduce your comments?
Yes
Yes - anonomously
No
Any suggestions for improvement?
Please tell us a little about your pregnancy and birth experience?
We love to read birth stories no matter how long or short!
Your E-mail address so we can send you a copy of your feedback *
Your information is NOT given to anyone else and is only used in accordance with our privacy and data policies, to provide you the services you have requested. Please see our privacy policy https://www.natalhypnotherapy.co.uk/shop/Privacy-Policy.html
Your telephone number (in case we want to clarify something with you)
Your date of birth
DD / MM / YYYY
I consent to having Intuition Un ltd, publishers of Natal Hypnotherapy, collect my name, email and due date, and send me top tips, if I have requested this.
I consent