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: