Community Survey – Wisdom of Motherhood & Beyond

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Your Voice Shapes Our Care

W.O.M.B Community
Survey

Help us build the support system you deserve. 3–4 minutes · Confidential

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Survey Form

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101

202

303

404

505

606

707

01 ABOUT YOU

1. What best describes you? *

Trying to conceive (Fertility journey)
Pregnant
New parent (0–12 months postpartum)
Parent with young children (1–5 years)
Parent with older children
Experiencing perimenopause or menopause
Partner / spouse / support person
Healthcare professional
Other

2. What is your age range? *

18–24
25–34
35–44
45–54
55+

3. Where are you located? *

London, Ontario
Nearby region
Elsewhere in Canada (virtual services interest me)
Outside Canada

02 YOUR NEEDS

4. What type of support would be MOST valuable to you right now? *

Fertility support & education
Birth doula services
Infant care education
Parenting support
Trauma-informed care
Nutrition & holistic wellness coaching
Menopause support
Pregnancy support
Postpartum recovery & care
Breastfeeding / chestfeeding support
Mental health & emotional wellness
Childbirth education
Hormonal health support
Relationship / family support

(Select all that apply)

5. How supported do you currently feel in your journey? *

Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5

Not supported at allFully supported

6. What is your biggest challenge right now? *

03 MATERNAL CARE

7. Have you ever worked with a doula? *

Yes
No
I've heard of doulas but never used one
I'm not sure what a doula does

8. If you were pregnant, what services would interest you most? *

Birth doula support
Birth plan consultation
Home birth support
Prenatal education
Hospital advocacy support
Virtual pregnancy coaching

(Select all that apply)

9. What postpartum support would feel most valuable? *

Overnight newborn care
Breastfeeding / chestfeeding support
Light housekeeping
Postpartum recovery support
Emotional & mental health support
Meal preparation
Parenting guidance

(Select all that apply)

consider you (Optional)

04 WELLNESS & DELIVERY

10. Which holistic services would you consider investing in? *

Fertility coaching
Menopause coaching
Addiction recovery support
Women's wellness retreats
Hormone & cycle health support
Trauma-informed counseling
Couples / partner support
Mental wellness coaching

(Select all that apply)

11. How do you prefer to receive support? *

In-home visits
Private one-on-one coaching
Community-based programs
Virtual sessions
Group workshops

(Select all that apply)

12. What does "premium/luxury maternal care" mean to you? *

Personalized, one-on-one care
Cultural understanding & respect
Privacy and discretion
High-quality, professional expertise
Emotional and mental support
24/7 availability
Convenience & ease

(Select all that apply)

05 INVESTMENT & COMMUNITY

13. What would you realistically invest in a professional birth doula package?

$500 – $1,000
$1,000 – $2,000
$2,000 – $3,000
$3,000+

14. Would you consider a monthly membership for ongoing wellness support?

Yes
Maybe
No

15. What community programs would you be interested in? *

Free parenting workshops
Mental health support circles
Teen pregnancy support
Programs for immigrant families
Maternal support groups
Fertility education sessions
Survivor support programs

(Select all that apply)

06 CONTENT & YOUR VOICE

16. Where do you currently get maternal or health information? *

Instagram
YouTube
Friends/family
TikTok
Healthcare providers
Blogs/websites

(Select all that apply)

17. What type of content would you like more of? *

Educational guidance
Expert insights
Step-by-step resources
Real-life experiences
Emotional support

(Select all that apply)

18. If you could design your ideal support system, what would it look like? *

19. Is there anything you wish people understood better about your experience? *

07 STAY CONNECTED

20. Would you like to receive:

Free maternal wellness resources
Event invitations
Early access to W.O.M.B services

Answer *

Yes
No

OPTIONAL — ONLY IF YOU'D LIKE TO STAY CONNECTED

Name

Email

Phone (Optional)

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Premium holistic maternal & family wellness, supporting you through fertility, pregnancy, birth, postpartum, and menopause in London, Ontario.

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