The Personalized Meditation Intake Form

The Prepared Mother — Personalized Walking Meditation Intake

Thank you for choosing a personalized walking meditation. Your answers below will allow Holly to create something built entirely around you, your pregnancy and your baby. There are no right or wrong answers. Be as honest and as specific as you feel comfortable being.

About You and Your Pregnancy

1. What is your name and how would you like Holly to address you in the meditation?

2. How many weeks pregnant are you?

3. Is this your first pregnancy or have you given birth before? If this is not your first — how would you describe your previous birth experience in a few sentences?

4. Where are you planning to give birth — hospital, birthing center, home birth or undecided?

What You Are Carrying Right Now?

5. When you think about your pregnancy and the birth ahead what is the feeling that comes up most often? It might be fear, excitement, uncertainty, grief, love, overwhelm — or something harder to name. Take your time with this one.

6. Is there a specific fear or worry that keeps coming back to you? Something you haven't been able to shake? You can be completely honest here. This is just between you and Holly.

7. Is there anything happening in your life outside of the pregnancy — in your relationship, your work, your family, your health — that is adding to the weight of this time?

Your Baby

8. Do you know the sex of your baby? If yes — will you be sharing that in this meditation or would you prefer Holly use neutral language?

9. Have you chosen a name or a nickname for your baby yet? If yes — would you like Holly to use it in the meditation?

10. If you could say one thing to your baby right now — one thing you most want them to know before they arrive — what would it be?

What You Most Need

11. When you imagine your perfect birth experience — not the logistics, not the plan — but the feeling of it — what does it feel like? What are the words that come to mind?

12. What is the one thing you most need to hear right now? The one truth that would change how you're moving through this pregnancy if you could actually feel it in your body?

13. Is there a specific affirmation, phrase or intention you have been working with during this pregnancy that feels important to you? Something Holly could weave into your walk?

Anything Else

14. Is there anything else you want Holly to know before she creates your meditation? Anything at all — about you, your story, your baby, your fears or your hopes.

Holly will create your personalized walking meditation within 5 to 7 business days of receiving your completed intake. You will receive your meditation via email as an audio file along with a personal note from Holly.

If you have any questions in the meantime please reach out at walk.meditate.transform@gmail.com

Personalized Meditation

$247

The Prepared Mother — Personalized Walking Meditation Intake

Get your free first walking meditation