Tell me about yourself

Let's Conquer Motherhood

Hello,

Thank you for coming over to tell me more about yourself. These questions will enable me to learn more about you, and therefore tailor the LCM content around your needs.

There are 10 questions - 5 quick ones, and 5 that will take a little more thought - which will take approximately 10 minutes to complete.

As well as helping me to help you, writing down your answers will give you more clarity about where you are and how you feel about your life right now.

Looking forward to finding out more about you,

Lisa x

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* 1. Name

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* 2. Date of Birth

Date / Time

Date

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* 3. Work Status

Full time employed

Part time employed

Full time self employed

Part time self employed

Stay-at-home mum

Other (please specify)

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* 4. Marital Status

Married / De facto (with children's father)

Divorced / Separated (single)

Divorced / Separated (in new relationship)

Re-married (blended family)

Single

Other (please specify)

Tell me about yourself

Let's Conquer Motherhood

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* 1. Name

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* 2. Date of Birth

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* 3. Work Status

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* 4. Marital Status

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* 5. Name / Date of Birth of children

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* 6. How do you feel about motherhood / your life right now?

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* 7. What are you struggling with at the moment?

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* 8. What is going well at the moment?

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* 9. Is there anything in particular you'd like to learn in LCM?

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* 10. What do you hope to achieve from LCM?