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Name:
Email:
Comment:
First Name
*
Email Address
*
Where do you live?
HRM
Nova Scotia
Canada
Other
How did you learn about the sessions?
A friend
My Doula
My care provider
Facebook
Instagram
All 4 Mommy
Other
Paid
Yes
Why are you interested in 'Fear and Now'?
I'm pregnant or planning to be
I'm a birth professional (doula, midwife, nurse, etc.)
I'm interested in becoming a HypnoBirthing Educator
I'm just curious about the film/birth
I want to help bring the screening to Nova Scotia
