Birth Class Evaluation Form

Birth Class Evaluation Form

Evaluate the over all class about what you learn and understand as well as evaluating the class mentor. Form Preview
  • Class Evaluation

  • Rate on the following scale:

  • My Mentor:

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  • My comprehension of each of these pain-coping practices, based on my Mentor's instruction:  ***If your mentor did not teach the pain-coping practice, leave blank.

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  • I rate my Mentor's capacity to build a pain coping mindset by completing these statements, giving a number from 1-7, where 1=no confidence, 3-4= somewhat confident, 7= very confident

  • (If a birth companion, rate your confidence in your ability to cope with and help the birthing woman in labor.)

  • I rate how much I learned from and valued the following:

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  • Thanks for filling out the evaluation!

  • Should be Empty: