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

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* 1. What is your full name?

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* 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

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* 3. What self-care practices do you currently have in place, if any?

Therapy

Exercise (Yoga, gym, pilates)

Journaling

Meditation

Other (please specify)

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* 4. Do you have any previous experience with mindfulness, yoga, or other mind-body practices? (e.g., beginner, some experience, regular practice, or none.)

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* 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

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* 6. What is your suburb and where is your closest Maternal Childcare Nurse centre?

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* 7. What form of participation do you prefer?

In-person

LIVE Online

Hybrid

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* 8. What days suit you and your family best?

Weekends

Weekdays

Either

Please provide your preferred day

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* 9. What about the range of times?

Between 9-11AM

Between 11-1PM

Between 2-4PM

Between 7-9PM

Expression of Interest

Shifting Motherhood program

Question Title

* 1. What is your full name?

Question Title

* 2. What interests you about our program?

Question Title

* 3. What self-care practices do you currently have in place, if any?

Question Title

* 4. Do you have any previous experience with mindfulness, yoga, or other mind-body practices? (e.g., beginner, some experience, regular practice, or none.)

Question Title

* 5. Is there anything specific you’d like to gain from this program?

Question Title

* 6. What is your suburb and where is your closest Maternal Childcare Nurse centre?

Question Title

* 7. What form of participation do you prefer?

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* 8. What days suit you and your family best?

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* 9. What about the range of times?

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* 10. Please provide your email and we will be in touch with our upcoming program dates