If a home or birth center birth, do you have a planned hospital back up?*
Have you taken a hospital tour?*
Have you registered at the hospital?*
What other health care providers do you see?
Have you taken any childbirth classes?*
Have you taken any breastfeeding classes?*
What other prenatal or parenting classes have you taken?
Number of previous pregnancies*
Where were your previous births?*
Have there been any complications with this or any past pregnancies?*
Who will be attending your birth?
What do you see as my roll in serving you?
Tell me a little about you and your family.