IF YOU ARE INTERESTED IN PRIVATE SESSIONS WITH KIMM, PLEASE FILL THIS FORM AND WE WILL GET BACK TO YOU AS SOON AS POSSIBLE. Name * First Name Last Name Email * Phone (###) ### #### Subject * Message * Let us know the reason you are seeking Havening. Below is an additional checklist to assist you. Check all that applies Birth Trauma Partner birth trauma Panic/anxiety attacks Conception/Fertility Feelings of Guilt, Anger, Shame or resentment. Chronically worried Provider abuse Stallel labor (prodomal labor) Fear of induction Fear of pitocin Fear of c-section Fear of pain Other phobias Relationship issues (with partner, family or friends) Mother-baby bonding issues Unbearable nausea and vomiting Obsessive Compulsive Disorder Insomnia Secondary Traumatic Stress (affected by other people's birth experiences) Fear of miscarriage Loss or grief after miscarriage Gender violence Feeling Isolated/lonely Breastfeeding issues White Coat Syndrome Stress over adjusting to parenthood/life changes Feeling overwhelmed Pregnancy Depression Postpartum Depression Something else (please describe in the message section). Thank you! We will get back to you shortly.
