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What is your age? *

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What year did you (will you) graduate midwifery school/apprenticeship? *

2019 2018 2017 2016 or before

Which midwifery school /process did you study with? (list all that you attended) *

When you meet someone at a party and they ask what you do, what do you say? How do you feel when you say it? *

What do people thank you for most often? What do they come to you for, or say about you, most frequently (positive or negative)? *

When do you feel powerful, passionate, free, incredibly useful, excited, inspired? *

What do you think your form of genius is? What are you amazing at (work or life-related)? *

What’s chronic, repetitive, or inflamed in your inner or outer life? *

Why do you feel this year-long workshop/playshop is perfect for you? *

What else would you like me to know? *

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