Skip to content
Expression of Interest
Shifting Motherhood program
Self-care program for mothers
We would like to learn more about your interest in our wellbeing program for mothers
1.
What is your full name?
2.
What interests you about our program?
Learning practical tools to support my emotional and mental health
Reconnecting with my body and releasing tension
Taking the time to myself and connect with others in a community setting
All of the above
Share with us if there is anything else
3.
What self-care practices do you currently have in place, if any?
Therapy
Exercise (Yoga, gym, pilates)
Journaling
Meditation
Other (please specify)
4.
Do you have any previous experience with mindfulness, yoga, or other mind-body practices? (e.g., beginner, some experience, regular practice, or none.)
5.
Is there anything specific you’d like to gain from this program?
Stress relief
Emotional regulation
Energy restoration
Connection with other mothers
Other, please share your goals
6.
What is your suburb and where is your closest Maternal Childcare Nurse centre?
7.
What form of participation do you prefer?
In-person
LIVE Online
Hybrid
8.
What days suit you and your family best?
Weekends
Weekdays
Either
Please provide your preferred day
9.
What about the range of times?
Between 9-11AM
Between 11-1PM
Between 2-4PM
Between 7-9PM
10.
Please provide your email and we will be in touch with our upcoming program dates
