Workshop Survey

First name*

Last name*

Email*

Phone*

What classes would you be interested in? (Check all that apply)*

Newborn Care Basics

Breastfeeding & Lactation Support

Home Birth vs. Hospital Birth (with a Midwife)

Sleep Training That Actually Works

Babyproofing & Home Safety

Infant & Child CPR + Choking Rescue

Starting Solids & Baby Nutrition

Understanding & Surviving Colic

Single Parent Support & Resources

Postpartum Mental Health (You’re Not Alone)

Baby Development: What to Expect the First Year

Preparing Siblings & Pets for Baby

Other

Any other suggested classes?

MONDAY-FRIDAY: Would time of day would you prefer?*

Mornings between 8am-11am

Afternoon between 11am-2pm

Late Afternoon between 2pm-5pm

Evenings between 5pm-8pm

I would prefer the weekends

SATURDAY & SUNDAY: Would time of day would you prefer?*

Mornings between 8am-11am

Afternoon between 11am-2pm

Late Afternoon between 2pm-5pm

Evenings between 5pm-8pm

I would prefer the weekdays

What days of the week would be best for you?*

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Would you need childcare?*

Yes

No

Choices of WNC

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