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)

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)

19. worked maternal

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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