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NurtureTalk
2020-12-10T09:41:28-05:00
Redeem Your Gift
You are about to get unlimited texting help that connects you with baby feeding experts.
Fill out this short form to redeem your gift!
Or Learn More About Your Gift
Your Name
*
First
Last
Your Email
*
Cell Phone (for service download and texting)
*
Who is this gift from?
*
Mother/father
Mother-in-law/father-in-law
Close family member (aunt, uncle, cousin, sister, brother, etc.)
Close friend
Co-worker
Tell us a little more!
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What is the anticipated due date (or birthday) of your baby(s)
*
Date Format: MM slash DD slash YYYY
Please fill this form out even if you are not sure what day baby(s) will arrive!
Gender of baby(s)
*
Boy
Girl
Boy and girl
Girl and girl
Boy and boy
No idea yet!
What happened leading up your pregnancy or motherhood?
*
Natural conception
Adoption
Surrogacy
In-vitro fertilization (IVF)
Intrauterine insemination (IUI)
Is there anything that you think is important that we know about you or your baby’s health?
How are you feeding, or plan to feed, your new baby?
*
Exclusive breastfeeding
Combination breastfeeding and formula
Breastmilk feeding (by bottle only)
Exclusive formula
I am not sure yet
I would like to breastfeed but I am not sure I know enough about it
How would you describe your feelings about breastfeeding?
*
It is so very important
I am going to try my best
I am going to try, but I am not sure how long I will continue
I am going to try but it is not very important to me
Unsure
I am planning on not breastfeeding at all
Do you think you will have questions about formula feeding?
*
No
Yes
Do you have dietary preferences?
*
Meat free
Nut - free
Vegetarian
Vegan
Dairy - free
Kosher or Halal
Gluten - free
No preferences
Is there anything else about you, your family, or baby that you would like us to know?
If you are already feeding your baby(s), or even just thinking about how feeding is going to go, please list the things you would like help with, or any aspects you are curious about.
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Which package are you registering for?
*
Monthly Plan
2 Month Plan
12 Month Plan
I am not sure!
You can find which package was purchased for you on your gift email.
Newsletter Signup
Yes - please sign me up to get mom-a-mazing updates from NurtureTalk.
Service Agreement
*
I agree to the Terms of Service
By submitting this form you agree you have read our Terms of Service (see below) and acknowledge that use of this service is for informational purposes only and advice is not intended to diagnose, treat, cure or prevent any disease and does not constitute medical information, advice or care.
Terms of Service
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