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Choosing Primary Coaching Topics With Dr. Madison

This survey will allow you and Dr. Madison to zero in on the areas in which need the most guidance at this time in your parenting journey. 

Please note this is only a starting point, a way to gather information and gain clarity in how best Dr. Madison may be able to help you. 

After completion of the survey, the coaches will be able to decide if Dr. Madison or possibly Dr. Konrad is a better fit for your family's needs at this time. You have an option to chose to work with BOTH coaches at an additional cost. 

Once the coaches have reviewed your survey, they will send you the most appropriate package offer and potential available times for your coaching sessions.

Our coaches look forward to helping your family grow holistically!

Click the button below to start.

Start

Question 1 of 28

Do you know which coach you would prefer?

A

Dr. Madison - Great this survey is for you! Please continue until the end!

B

Dr. Konrad - If you prefer Dr. Konrad, stop THIS survey and fill out the previous under his picture.

Natural Birth Support

Presented by Dr. Madison

Rank each question 0-4

0 - absolute NO interest// NO

4  - absolutely interested// YES

Question 3 of 28

Is this your first birth experience?

0 - NO

4  - YES

A

0

B

1

C

2

D

3

E

4

Question 4 of 28

Are you seeking a non-medicated/hands off hospital birth?

0 - absolute NO interest

4  - absolutely interested

A

0

B

1

C

2

D

3

E

4

Question 5 of 28

Are you interested in a home birth?

0 - absolute NO interest

4  - absolutely interested

A

0

B

1

C

2

D

3

E

4

Question 6 of 28

Do you have or are you interested in using a midwife and/or doula?

0 - absolute NO interest

4  - absolutely interested

A

0

B

1

C

2

D

3

E

4

Question 7 of 28

Have you had a traumatic past birth?

0 - NO 

4  - YES

A

0

B

1

C

2

D

3

E

4

Question 8 of 28

Are you aiming for a Vaginal Birth After Cesarean (VBAC) or Home Birth After Cesarean (HBAC)?

0 - does not apply to me

4  - absolutely interested

A

0

B

1

C

2

D

3

E

4

Question 9 of 28

Please add any further explanation of your choices if you would like to.

 

Please also add any other additional information/comments pertaining to what you would like guidance with. 

 

Type None if you do not wish to add any additional information.

 

IMPORTANT: Type N/A (Not Applicable) if this topic does not apply to you.

 

SAFE Co-Sleeping Habits

Presented by Dr. Madison

Rank each question 0-4

0 - absolute NO interest// NO

4  - absolutely interested// YES

Question 11 of 28

Are you interested in co-sleeping?

0 - absolute NO interest/ does not apply

4  - absolutely interested

A

0

B

1

C

2

D

3

E

4

Question 12 of 28

Have you co-slept with children or babies in the past?

0 -  NO 

4  - YES

A

0

B

1

C

2

D

3

E

4

Question 13 of 28

Are you aware of what research qualifies as risks when co-sleeping?

0 - NO 

4  - YES

A

0

B

1

C

2

D

3

E

4

Question 14 of 28

If you have a partner, is that person onboard with co-sleeping (leave a comment below if this does not apply to you please)?

0 - absolute NO interest

4  - absolutely interested

A

0

B

1

C

2

D

3

E

4

Question 15 of 28

Please tell us why you want to co-sleep?

 

Type None if you do not wish to add any additional information.

 

Type N/A (Not Applicable) if this topic does not apply.

 

Managing Family Schedules

Presented by Dr. Madison

Rank each question 0-4

0 - absolute NO interest// NO

4  - absolutely interested// YES

Question 17 of 28

Are you interested in developing better habits when keeping track of your family members' different schedules?

0 - absolute NO interest

4  - absolutely interested

A

0

B

1

C

2

D

3

E

4

Question 18 of 28

Does your current scheduling technique need work?

0 - NO

4  - YES

A

0

B

1

C

2

D

3

E

4

Question 19 of 28

Are you always late or missing appointments for family members?

0 - NO 

4  - YES

A

0

B

1

C

2

D

3

E

4

Question 20 of 28

Comments: Tell us how you manage your family's busy schedules if you'd like to.

 

Type None if you do not wish to add any additional information.

 

Type N/A (Not Applicable) if this topic does not apply.

 

Family Neuro-Emotional Support and Improved Communication

Presented by Dr. Madison

Rank each question 0-4

0 - absolute NO interest// NO

4  - absolutely interested// YES

Question 22 of 28

Do you want your family's communication skills to improve?

0 - absolute NO interest

4  - absolutely interested

A

0

B

1

C

2

D

3

E

4

Question 23 of 28

Are you interested in creating new habits and patterns when communicating to your partner or kids?

0 - absolute NO interest

4  - absolutely interested

A

0

B

1

C

2

D

3

E

4

Question 24 of 28

Are you looking for a way to decrease yelling, screaming, and harsh punishments?

0 - absolute NO interest

4  - absolutely interested

A

0

B

1

C

2

D

3

E

4

Question 25 of 28

Would you be interested in learning (and then teaching to your kids) techniques that are great (and quick) at calming down children?

0 -  absolute NO interest

4  - absolutely interested

A

0

B

1

C

2

D

3

E

4

Question 26 of 28

As a holistic parent, are you looking for ways to communicate your more natural parenting ways to relatives and friends?

0 - absolute NO interest

4  - absolutely interested

A

0

B

1

C

2

D

3

E

4

Question 27 of 28

Do you actively try to improve your own health and well being?

0 -  NO

4  - YES

A

0

B

1

C

2

D

3

E

4

Question 28 of 28

 Please give any additional comments or explanations about any or all of the questions you answered.

 

Type None if you do not wish to add any additional information.

 

Type N/A (Not Applicable) if this topic does not apply.

 

Confirm and Submit