What was you class date?
Which class did you take?
Hypnobabies
All About Cloth Diapers
Babywearing 101
your Natural Baby
Other
What was your overall class experience:
1 (poor)
2
3
4
5 (outstanding)
How many times per week did you practice on your own?
0
1
2
3
4
5+
How many times per week did you practice with your Birth Partner?
0
1
2
3
4
5+
My confidence level before class was?
1 (poor)
2
3
4
5 (outstanding)
My confidence level after class was?
1 (poor)
2
3
4
5 (outstanding)
What is your partners current confidence level regarding your birthing?
1 (poor)
2
3
4
5 ( outstanding)
My overall experience in the class was:
1 (poor)
2
3
4
5 (outstanding)
The usefulness of the CDs given to me by my instructor was:
1 (poor)
2
3
4
5 (outstanding)
The value of the birthing rehearsal in bulding my confidence level was:
1 (poor)
2
3
4
5 (outstanding)
The value of the birthing video in bulding my confidence level was:
1 (poor)
2
3
4
5 (outstanding)
How would you rate the learning environment?
1 (poor)
2
3
4
5 (outstanding)
My instructor was very knowledgable and helpful.
1 (disagree)
2
3
4
5 (strongly agree)
My instructor's manner was positive and inspiring.
1 (disagree)
2
3
4
5 (strongly agree)
The course has reinforced my positive views of birth.
1 (disagree)
2
3
4
5 (strongly agree)
What stands out the most for me about this course is:
What was most enjoyable/helpful about the class?
What was most enjoyable/helpful about the class?
What would you suggest to improve the course and/or materials?
Is there anything that wasn't covered in class that you wish had been?
How would you rate your instructors style?
1 (poor)
2
3
4
5 (outstanding)
How would you rate your instructor's knowledge of the material?
1 (poor)
2
3
4
5 (Outstanding)
What was helpful about your instructor's method & style?
My birth partner feels (?) about hypnosis for childbirth.
Do you have any other comments you would like to share?
Can we use the above comments on our web site or other printed materials?
yes
no