Intake form

Name *

Email address *

What is your child's age?

What are your main reasons for joining the support group?

Please select at least one option.

Seeking emotional support

Sharing experiences

Building relationships

Learning parenting tips

How did you hear about urodziłam życie - grupa wsparcia?

What days are you available for meetings?

Please select at least one option.

Monday

Tuesday

Wednesday

Thursday

Friday

What topics are you interested in discussing during the meetings?

Please select at least one option.

Breastfeeding

Sleep issues

Child development

Self-care for mothers

Relationship advice

Additional questions or comments

Urodziłam Życie - Grupa Wsparcia