Sierra Center for Peak Perfromance

FREE PERSONALIZED
BIRTHING AFFIRMATIONS

Use this form to set goals and action steps and Dr. Relax will turn your goals and action steps into powerful affirmations that will motivate, inspire and reinforce your efforts to have a joyful, fulfilling birthing experience.

To ask Dr. Relax to create a free listing of personalized affirmations specific to you and your unique circumstances, simply complete this form and click on "Send" at the bottom.

If you are not sure how these affirmations can help you see: http://www.drrelax.com/ezine1.htm#3

What is your first name?
What is your last name?
What is your Due Date?
What is your age?
Is this your first child?
If not how many other children have you delivered?
What are the ages of your other children?
What was the method of delivery for each of your children?
Who will be present at the delivery?
Describe at least four Process Goals for this birth. What would make this experience
most positive for you?

(Set Process Goals such as: "To be well prepared." Avoid
Outcome Goals such as: "To have a healthy baby.")
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What must you do to achieve each of the goals stated above? (What actions must you take?)* Note that Step 1 is the action you must take to achieve Goal 1 and each step should be paired with each goal above. 1.
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What is the single biggest challenge to you reaching your goals?
What feelings or emotions do you associate with a perfect birthing experience? (Try to name more than four if you can.) 1.
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What specific advantages or benefits do you expect to gain as a result of
this training?
Name three women that you admire. 1.
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