Zoom Baby CPR & Choking Confidence Workshop Questionnaire

I am:

An Expecting Mom

A First Time Mom

An Experienced Mom (I have 2 or more children)

A Dad

A Grandma

A Grandpa

A Caregiver (Nanny, Babysitter, Older Sibling)

A Professional who works with babies & parents

Other

How old is your baby?

I'm expecting

0 to 2 months

3 to 4 months

5 to 6 months

7 to 8 months

9 to 10 months

11 to 12 months

Not Applicable

Has your baby started solids yet?

Yes

No

Not Applicable

Does choking make you feel nervous because you are unsure about how to properly handle a choking emergency?

Yes

No

Sort of

Why are you attending this workshop?

To be prepared for a choking or other life-threatening emergency

I was faced with an emergency, and now I realize I need to be prepared

My baby has a condition, so I want to be prepared with lifesaving skills

Other

Have you ever participated in CPR training before?

Yes, but it was NOT infant-focused training and it was a long time ago

Yes, I'm CPR certified, but I need to refresh my infant-specific skills

No

I understand that this is a non-certification workshop (see FAQ: Will I receive a certification at thelifesavingcoach.com/baby for details)

Yes I understand!

Even though Judy, The Lifesaving Coach is an accredited CPR Instructor with the Heart & Stroke Foundation (For 30 years), I understand that this is NOT a Heart & Stroke Foundation course. This is a customized virtual baby CPR workshop for parents, solely designed by The Lifesaving Coach.

Yes, I understand!

I understand there are 3 main requirements to prepare for the workshop, and these are explained in the emails sent to me from The Lifesaving Coach. They include 1. Watching The Pre-Workshop Videos, 2. Preparing My Technology, 3. Preparing My Practice Supplies - And Don't Worry, This Is Easy!

Yes, I understand!

Is a partner joining you?

No

Yes: my partner or another family member that resides in my household will be joining. We will both join from the same device and zoom link. When I enter the zoom meeting I will include my name and their name e.g. Judy B & Rick.

Photos & Videos of you and your partner and baby (if with you) will be taken at the workshop! Why? Because this is the best way to show and encourage other parents to join the workshop and stop preventable tragedies! The agreement explains this. If you wish to refrain from pictures and videos, please answer NO here.

Yes, I'm cool with pictures & videos!

No, I'm not cool with being included in pictures or videos - however I understand that I may be included, with a blurred or covered up face, as it may be impossible to completely remove images of me.

How did you hear about The Lifesaving Coach?

Facebook

Instagram

YouTube

Media: TV, Radio, Podcast

Referral

Other

I Have More Questions?

I know that for ANY questions I have, I can check out the comprehensive list of FAQ's for this workshop at thelifesavingcoach.com/baby, and if I don't find my answer there, I can email my questions to [email protected].

Do you want to feel Calm, Confident and Prepared for a baby emergency (instead of unprepared & panicked)?

Yes! I know that this is the transformation I'll achieve if I watch the pre-workshop videos, prep my technology, prep my practice supplies, participate in the workshop, and participate in Lifesaving School For Parents (where I'll practice and refresh my baby, toddler and child CPR and choking skills on my schedule), following the workshop! (I'm pretty awesome for joining this ONE-STOP lifesaving program!).

Please Complete These Onboarding Questions...

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