Natal Hypnotherapy Feedback Form

Your name and date of birth

Which CD(s) did you listen to?

Prepare to conceive

IVF companion CD

Relaxation and stress management

What impact did the CD(s) have on your experience:- 1 = Did not help at all 2 = Helped a small amount 3 = Helped some of the time 4 = Helped a lot 5 = Helped a great deal 6 = Were extremely helpful

For the Prepare to conceive and IVF CD

Feeling more relaxed before conception

let go of any fears / concerns

Increased trust and belief in my body

Feeling calmer during my cycle

For the IVF CD only

Helped with medical procedures

Felt more confident after replacement

Did you become pregnant

Yes

No

How much impact did the CDs have?

Would you recommend them?

Yes

No

Would you tell your story to a magazine?

Yes

No

Yes, if anonymous

May we reproduce your comments?

Yes

No

What was the best thing about the CDs?

Any suggestions for improvement

Your story so far

Tel / E-mail (for our use ONLY)