Evaluation of Prenatal Classes

Instructor's Name:
Class Dates:
I am a Mother Father Partner Other Relative Other
This is my # child. Baby's birth date
I rate how helpful I found each of these pain-coping practices during labor and birth, on a scale of 1 to 7, where:
1 = totally useless 3 = somewhat helpful 5 = valuable 7 = extremely valuable
***If your Mentor did not teach the pain-coping practice, rate a "0"
Breath Awareness 0 1 2 3 4 5 6 7
Non-Focused Awareness 0 1 2 3 4 5 6 7
Finding the Center 0 1 2 3 4 5 6 7
Vocalizing/Co-chanting/Coyote 0 1 2 3 4 5 6 7
Ovarian/Circular Breathing 0 1 2 3 4 5 6 7
Drugs and Epidurals 0 1 2 3 4 5 6 7
Footbath and massage 0 1 2 3 4 5 6 7
Warrior (Bowls of Ice) 0 1 2 3 4 5 6 7
Looking back on my class, I rate how valuable these were to me during labor, birth, and postpartum
0 = not done 1= totally useless 3= somewhat helpful 5= valuable 7 = extremely valuable
Practical Information 0 1 2 3 4 5 6 7
Labyrinth 0 1 2 3 4 5 6 7
Special Fathers' Class 0 1 2 3 4 5 6 7
"Getting Information" Role Play 0 1 2 3 4 5 6 7
Videos 0 1 2 3 4 5 6 7
Tigers (Drawing on Your Coping Skills) 0 1 2 3 4 5 6 7
Cesarean Birth 0 1 2 3 4 5 6 7

Looking back now, this is how well I feel that class prepared me to cope with pain
(If a birth companion, rate how prepared you feel you were to cope with and help the birthing woman in labor)

Not prepared at all A little bit Somewhat Fairly well Very prepared

Looking back now, this is how well I feel that class prepared me to cope with unexpected events and unwished-for surprises

Not unexpected at all A little bit Somewhat Fairly well Very unexpected

Thinking back now that I've been through labor and immediate postpartum, this is what I liked and/or valued most in the classes

Something I learned in class that I didn't understand or like at the time, but I was surprised to find helpful at some point during birth and postpartum

Something I learned in class that was very helpful to me in our postpartum period was

How these classes are positively affecting our relationship postpartum

Something I now know about labor, birth, or postpartum that I wish I'd known beforehand

Anything else I want to share (positive or negative) about class, my Mentor, or my preparation for birth

I would recommend these classes to other expectant parents

No Maybe Probably Absolutely

I wish to remain anonymous
You may use my name and comments publicly

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