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
Rhythm of Birth Class Evaluation
  • 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: