Name * First Name Last Name Email * 1) What trimester are you currently in? * 1st Trimester 2nd Trimester 3rd Trimester 2) Do you have any specific concerns or challenges related to your pregnancy that you’d like support with? * Yes No 2)If Yes, please add a brief Explanation. * 3) Are you interested in receiving information or resources about prenatal care, childbirth education, or relaxation techniques? * Yes No Thank you! We will email you within the next 2 days.