Oh Baby I Had No Idea - Guest Intake Form

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INSTRUCTIONS:

To begin, please look through the following topics and select only the topic(s) that you would be willing to share your personal experience(s) on in the future.
You may select as many as you would like, and you can also suggest a topic if you don’t see one listed that you would like to discuss.
After you complete the form, I will be in contact to discuss next steps.
**Please note, video recordings are preferred but are NOT mandatory for being on the show. Audio-only options are available.**

Thank you for your interest in sharing your story with our Virtual Village on our Podcast & YouTube Channel. I look forward to discussing this with you further!

Email *

How did you hear about the show? *

Your Name *

Your IG, Facebook, and/or TikTok Handle

FYI

You do not have to be an expert in the field to talk about any of these topics. These discussions are meant to dive into your personal experiences in order to help listeners relate, gain a better understanding of a topic they may not be familiar with, and/or learn about any resources that were a part of your journey.

MOM LIFE

Discussions focusing on the "I Had No Ideas" of all aspects of motherhood including your experiences with pregnancy, birth, postpartum and everyday life with kids.

DAD LIFE

Discussions focusing on the "I Had No Ideas" of all aspects of fatherhood including your experience with your partner's pregnancy, your partner's birth, YOUR postpartum experience and everyday life as a dad.

LOSS

Miscarriage

Infant Loss

Birth after Loss

SIDS

Stillborn

Loss of a Parent

Pregnancy After Loss

Postpartum After Loss

Life as a Loss Parent

Other:

INFERTILITY

Infertility

IVF

Surrogacy

TTC (Trying to Conceive)

Other:

PREGNANCY

Pregnancy Complications

Pregnancy Conditions

Being a Surrogate

Share my Pregnancy Story

Trauma During Pregnancy

Pregnancy with a Medical Condition

Baby Diagnosis

Multiple Gestation Pregnancy

Other:

LABOR & DELIVERY

Preparing for L&D

Complications

Share my Birth Story

Hospital Birth Experience

Home Birth Experience

Water Birth Experience

Doula Assisted Delivery

Midwife Assisted Delivery

Other:

POSTPARTUM RECOVERY - POST DELIVERY

NICU stays

Share My C-section Recovery Story

Share My Vaginal Birth Recovery Story

Share My VBAC Recovery Story

Other:

POSTPARTUM

Preparing for Postpartum

Breastfeeding / Pumping

Formula Feeding

Share my Postpartum Story

Postpartum Complications

Other:

PERINATAL & POSTPARTUM MOOD DISORDERS

Postpartum Depression

Postpartum Anxiety

Postpartum Rage

Perinatal Depression

Baby Blues

Birth Related Post Traumatic Stress Disorder

Birth Trauma

Intrusive Thoughts

Pregnancy/Postpartum OCD

Bipolar Mood Disorder

Postpartum Psychosis

Post Weaning Depression

Dysphoric Milk Ejection

Other:

PARENTAL CHALLENGES

Unrealistic Expectations

Comparison (Baby/Children/Parents)

Self-Care

Connecting with Partner after Kids

Intimacy after Pregnancy

Blended Families

Single Parenting

Loss of Identity

Parent Overstimulation

Breaking Generational Cycles

Lack of Support

Parenting during a Pandemic

Life with Adopted Children

Life with Special Needs Children

Life of a Stay-at-Home Parent

Life of a Work-from-Home Parent

Life of a Full-Time Working Parent

Parenting with a Medical Condition

Gender Disappointment

Modern Day Parenting

Marriage & Parenting

Parent Villages

Other:

Of the topics chosen above, which topic(s) do you feel the most passionate about? *

Are you ok with using video during the podcast and having those videos used and advertised across multiple social media accounts (IG, TikTok, Facebook, etc) and YouTube? *

Yes, audio and video are both ok.

No, I would prefer audio only.

Unsure at this time.

Follow Up

Be on the lookout for an email from me within the next few days/weeks to discuss next steps.

Phone Number

Preferred Contact Method *

Phone

IG Messages

TikTok Messages

Facebook Messages

Other:

Required

Questions and Comments

A copy of your responses will be emailed to the address you provided.

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