Name
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First Name
Last Name
Email
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Phone
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What is your experience in private practice to date?
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What stage of private practice are you at?
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Starting out
I'm in my two years of private practice
I've been in private practice for 3 years +
Prior to private practice, what is your previous midwifery / health care experience?
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Some people come to midwifery as a second – or even third – career. Do you have any work experience prior to moving into midwifery?
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Have you ever started or run a business before? If so, why are you no longer engaged in that business?
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What are the greatest challenges you’re facing right now in your practice?
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Is there anything else going on in your life outside of your practice that is having a big impact on your practice (eg divorce, loss, moving house, new baby, family issues etc)
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What are your goals for your practice? What do you want to achieve? Timeframe?
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Thinking about the future of your practice, what things are worrying you?
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What words would women use to describe you? How would colleagues describe you?
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List 5 things that you feel you are ‘putting up with’ in your practice right now
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What do you believe are your key strengths for running a business, being a midwife or being an all round super human being?
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What's working really well for you in your practice?
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On a scale of 1 – 10, how stressed do you feel right now?
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How stressed do you normally feel (on that same scale of 1 – 10)?
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What's led you to seek out this service?
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What are the main areas you'd like to focus on (tick as many as you like)?
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Practice (eg service, models, contracts / servcie agreements, collaboration, processes, planning for set-backs)
Financial (eg viability, what to charge, expense management, profitability etc)
Clients (eg boundaries, communication etc)
Self-care (eg fatigue, time management, debriefing a birth or situation, burnout)
What do you want to make sure you get from our relationship?
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Do you prefer phone or Zoom for your sessions?
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Phone
Zoom