Get a Box

Each box is crafted to ease anxiety during pregnancy after loss, supporting families and birthing individuals to remain peaceful, confident, and well-informed.

Name

Ethnicity

Gender

Sexual Orientation

Where did you hear about us?

Where are you located?

Who is your midwife and GP surgery?

I explicitly consent to Willow’s Rainbow Box keeping my ethnicity, health, gender and sexual orientation data to provide support, report on who we reach, improve our services and better target support. Kept for 6 years; I can withdraw consent anytime.

I consent to Willow’s Rainbow Box contacting me by email in the future to ask for feedback about the support I received.

* At present can only provide boxes throughout England and Wales. This list will grow as our resources grow!

Boxes will be posted.

If you experience any Issues with this form, please get In touch at hello@willowsrainbowbox.co.uk.

Get a Box

Visit Us on Instagram