This information gives me a chance to get to know you and plan out our prenatal meeting a little bit better. Fill out what you can, but please do not stress out if you find it hard to answer anything- we will answer all those questions when we meet! Name * First Name Last Name Tell me about your ideal birth Do you have any concerns or fears going into this birth? When you get stressed, think about where you most feel tension (Clenching jaw, hands, shoulders, bum) What helps you in normal life to combat that tension? Do you have any cultural or religious preferences I should be aware of? Do you have any allergies? What are your biggest concerns about the postpartum period? What are you most interested in covering during your prenatal meeting? Thank you!