Maternal Health and Wellbeing check-in

Inspired by The Post-Natal Depletion Cure by Dr Oscar Serrallach

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* 1. How far along are you in your postpartum journey?

Less than 6 months

1 year

2 years

3 years +

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* 2. How are you currently feeling in your body and mind?

Fatigued

Energized

Overwhelmed

Calm

Disconnected

All the above

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* 3. What are your biggest stressors or challenges at this stage of motherhood?

Emotional overwhelm

Physical exhaustion

Isolation

Identity shifts

All the above

Include anything else that might describe your experience

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* 4. Have you had a medical condition start during or after pregnancy?

Yes

If answered yes, please share with us if its a concern

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* 5. Do you feel you have digestive issues that have worsen since the birth of your child? e.g constipation, diarrea and/or abdominal pain

Yes

if yes, please share a bit more if its a concern

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* 6. Do you feel severe fatige, maybe exhausted on waking?

Sometimes

Frequently

All the time

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* 7. Have you become overly aware while sleeping, finding it hard to rest?

Sometimes

Frequently

All the time

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* 8. Are you experiencing levels of anxiety that are above your norm?

Sometimes

Frequently

All the time

if yes, what do you think triggers them?

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* 9. Are you finding it hard to think or remember things after childbirth?

Sometimes

Frequently

All the time

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* 10. Are you struggling to keep up with basic self-care such as shower, exercise, eating?

Sometimes

Frequently

All the time

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* 11. Do you have a sense of isolation and lack of support?

Sometimes

Frequently

All the time

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* 12. Do you feel a sense of anger, guilt, and disconected with your partner or close family?

Sometimes

Frequently

All the time

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* 13. Do you feel overwhelmed or unable to cope?

Sometimes

Frequently

All the time

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* 14. Do you feel there is no time for me?

Sometimes

Frequently

All the time

Maternal Health and Wellbeing check-in

Question Title

* 1. How far along are you in your postpartum journey?

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* 2. How are you currently feeling in your body and mind?

Question Title

* 3. What are your biggest stressors or challenges at this stage of motherhood?

Question Title

* 4. Have you had a medical condition start during or after pregnancy?

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* 5. Do you feel you have digestive issues that have worsen since the birth of your child? e.g constipation, diarrea and/or abdominal pain

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* 6. Do you feel severe fatige, maybe exhausted on waking?

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* 7. Have you become overly aware while sleeping, finding it hard to rest?

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* 8. Are you experiencing levels of anxiety that are above your norm?

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* 9. Are you finding it hard to think or remember things after childbirth?

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* 10. Are you struggling to keep up with basic self-care such as shower, exercise, eating?

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* 11. Do you have a sense of isolation and lack of support?

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* 12. Do you feel a sense of anger, guilt, and disconected with your partner or close family?

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* 13. Do you feel overwhelmed or unable to cope?

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* 14. Do you feel there is no time for me?

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* 15. Write your email below to get your scaled results