Wufoo

Me & My Baby Prize Draw Survey

Have you visited Me & My Baby Therapy Rooms & Clinic before?
Yes No

If No, please skip to Q.4
If yes, what were the main reasons you visited the clinic for?
To enjoy a healthier pregnancy For relaxation/anxiety pre-birth To encourage labour A friend recommended My Midwife/Consultant/Antenatal Teacher recommended Pure Indulgence/"Me time" ! Treatment(s) post birth for you Treatment(s) post birth for your baby A Gift Certificate

Please mark as many fields as appropriate
Would you recommend the clinic to a friend?
Yes No Already have done
What magazines/directories do you read to find out pregnancy & baby related info?
Junior Pregancy & Baby The London Baby Directory The Parents Directories Families South West Angels & Urchins The Resident BabyGROE I prefer to search online

Please mark as many fields as appropriate
What could we do to improve the clinic and our services?
What promotions and offers catch your eye or appeal to you?
Can we contact you to discuss your comments?
Yes - by phone Yes - by email only No
Which of our FREE e-info sheets would you like to receive?
Simple Birthing Positions Relaxation tools for Pain Relief in Labour Chinese Dietary Tips for a Healthier Pregnancy Simple Tips for Successful Breastfeeding Basic Introduction to Homeopathy for Babies & Children Useful Babyreflex Tips for Colic and Teething
Are you..?
A Mum-to-be New Mum Trying to get Pregnant Other
Please give us your email address to enter our draw an receive your free e-info sheet.
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