Make Space For Baby
Thank you for creating space to complete this form. Your feedback is precious to me as I write "Make Space For Baby: Your Preconception Guidebook for Preparing Heart, Home & Body". To gather information in support of your journey, the following form includes questions about your conception and pregnancy journey. Your responses are confidential unless you choose to add your phone number and email at the end in response to being contacted for an interview. Thank you again. So much love, Jocelyn XOXO @jocelyngordon1 |
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Pregnancy & Conception
Are you pregnant?
Are you trying to conceive?
Not trying but not preventing
I'm already pregnant
I want to start trying to conceive
In three months
In six months
In one year
Within the next three years
I'm not sure
I want to have a baby however the world is a bit crazy right now and I am confused
I'm done having babies
If you are or have actively tried to conceive, have you experienced any delays in conception (beyond six months of consistent effort)
Haven't started trying so cannot say
If Yes, what were/are your next steps? Did you stop your efforts? Did you lean into acupuncture or other holistic methods? Did you invest in fertility treatments? Please share a bit of your fertility journey.
If you are trying to conceive, how long have you been trying?
Have you had a Conscious Conception journey?
I'm not sure of what that is
If yes, how did you prepare for conception and parenting
Please share more about your Conscious Conception Journey
Number of pregnancies continued past 4 1⁄2 months (20 weeks)
Number of miscarriages
Number of stillbirths
Number of abortions
Number of living children
What do you want to know
What you would like to know, learn, explore
Feng Shui for Conception
Healing After Abortion
Healing After Pregnancy & Birth Loss
Communication with Spirit Baby
Mother Issues & Addressing the Mother Wound
Addressing Conflicting Emotions - ex. I want a baby. I don't want a baby.
Physical Space & Physical Wellbeing (preconception detox and tending the sacred vessel)
Psychic Space & Mental Wellbeing (your thoughts and beliefs)
Relational Space & Wellbeing (audit of self, partner, family, business relationships)
Emotional Wellbeing (tending to your emotional world, unresolved issues, unaddressed trauma)
Sacred Space & Spiritual Wellbeing (your daily relationship with Spirit)
Financial Wellbeing (preparation for parenting)
Preconception Traditions Around The World
What else would you like to know and see in this book? Please be specific.
Fears, Concerns & Desires
Which one describes you
I am super excited about parenting and I can't wait for my turn
I am a parent and I want to do things differently
I have conflicting emotions - ex. I want a baby. I don't want a baby.
I want to become a parent yet I am concerned about my fertility
I want to become a parent and I am un-partnered
I want to become a parent and I am not sure if I want to be partnered
I want to become a parent and I am not sure if my current partner is my ideal co-parent
I want to become a parent and I am concerned about the future of Earth and humanity
I want to become a parent and I want to parent differently than those who raised me
I want to become a parent and I am not sure if I want to give birth myself, have a surrogate or adopt
I've experienced abortion and I'm not sure if I deserve to have a baby
What else - speak your truth
Please share any fears you may have
Desires & Dreams
Describe your ideal conception, gestation and birthing vision
Anything else you would like to share or ask
May I contact you directly to interview you for the book? If yes, please include your NAME, PHONE # & EMAIL address:
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