Name
              
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                    First Name 
                   
                
                
                  
                    Last Name 
                   
                
               
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              What is your preferred name and how is it pronounced?
              
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              Pronouns
              
             
          
                
                
                
                  
                    She/Her 
                  
                    He/His 
                  
                    They/Them 
                  
                     
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
              
                
            
              Email
              
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              What is your address?
              
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              Phone Number
              
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              What inspired you to sign up for this training?
              
             
          
                
                
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              How did you hear about this training?
              
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              Are you a birth or postpartum doula, private chef, or care-taker in some capacity?
              
             
          
                
                
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              What other experience do you have with food, cooking, healing work or the perinatal period?  (For example: Do you cook for family members? Do you have children yourself? Have you studied other healing arts?  Have you worked in a restaurant or healing center? Have you supported others with childcare?  Please share any experience that is related to this work!)
              
             
          
                
                
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Are you currently cooking for people postpartum?
              
             
          
                
                
                
                  
                    Yes! 
                  
                    Not yet! 
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              Do you have children? Are you open to sharing more about your personal postpartum experience?
              
             
          
                
                
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              What do you hope to get out of this training?
              
             
          
                
                
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              Are you GF, vegan, vegetarian, or carnivore? Anything I should know about your food/cooking preferences?
              
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              Do you have any experience with medicinal herbs and spices?  Are you interested in learning more about these things?
              
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              Do you have any personal knowledge from your family of ancestry about postpartum foods and practices? Can you share some details if so? (I honor all traditional knowledge and if you're open to it, will ask you to share throughout the training.)
              
             
          
                
                
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              What is your learning style? E.g. Visual, Kinesthetic, Auditory, Reading/Writing, etc
              
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              Do you like, love or dislike virtual/online learning?  What do you find most exciting about this format?  What do you find most challenging?
              
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              How do you feel about breakout rooms?
              
             
          
                
                
                
                
                
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Are you more of a:
              
             
          
                
                
                
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
               Do you currently use or are you familiar with WhatsApp? 
              
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              Is there anything else you would like me to know privately about your work/life at the moment? 
              
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