Evaluation Form

    Class Feedback

    Please submit the following HypnoBirthing class and instructor evaluation form.

    *Name(s):

    *Email:

    Instructor:

    City/State/Country:

    Class start date:

    Weeks pregnant at class start:

    Number of sessions:

    Length of each session:

    Cost:

    Class Type:

    If Group class, how many couples?

    Class Experience: With 5 being high and 1 being low, list the number that best describes your HypnoBirthing (HB) class experience and your Instructor (HBCE).
    HBCE knowledge and helpfulness:

    HBCE is positive and inspiring:

    Confidence in HB and birth:

    Book, handouts and CDs usefulness:

    Value of info covered in class:

    Value of positive birth videos:

    Learning environment is:

    Likelihood of recommending HB:

    Likelihood of recommending HBCE:

    I was most impressed with:

    What I found least helpful was:

    Overall impression of HBCE:

    I benefitted most from:

    Classes helped the most by:

    Biggest lesson I learned:

    I was influenced most by:

    Overall opinion of HB is:

    My suggestions are: