{"id":781,"date":"2019-03-01T04:52:52","date_gmt":"2019-03-01T04:52:52","guid":{"rendered":"https:\/\/hypnobirthinglasvegas.com\/?page_id=781"},"modified":"2019-03-01T04:54:01","modified_gmt":"2019-03-01T04:54:01","slug":"evaluation-form","status":"publish","type":"page","link":"https:\/\/hypnobirthinglasvegas.com\/index.php\/evaluation-form\/","title":{"rendered":"Evaluation Form"},"content":{"rendered":"\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f779-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"779\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php\/wp-json\/wp\/v2\/pages\/781#wpcf7-f779-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"779\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f779-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<h2>Class Feedback\n<\/h2>\n<p>Please submit the following HypnoBirthing class and instructor evaluation form.\n<\/p>\n<p>*Name(s): <span class=\"wpcf7-form-control-wrap\" data-name=\"text-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"text-name\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-name\" \/><\/span>\n<\/p>\n<p>*Email:<span class=\"wpcf7-form-control-wrap\" data-name=\"email-evalemail\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" id=\"email-evalemail\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email-evalemail\" \/><\/span>\n<\/p>\n<p>Instructor: <span class=\"wpcf7-form-control-wrap\" data-name=\"menu-instructor\"><select class=\"wpcf7-form-control wpcf7-select\" id=\"menu-instructor\" aria-invalid=\"false\" name=\"menu-instructor\"><option value=\"Mandie Medford\">Mandie Medford<\/option><option value=\"Marcie Webb\">Marcie Webb<\/option><option value=\"Other\">Other<\/option><\/select><\/span>\n<\/p>\n<p>City\/State\/Country: <span class=\"wpcf7-form-control-wrap\" data-name=\"text-citystatecountry\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"text-citystatecountry\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-citystatecountry\" \/><\/span>\n<\/p>\n<p>Class start date: <span class=\"wpcf7-form-control-wrap\" data-name=\"text-classstart\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"text-classstart\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-classstart\" \/><\/span>\n<\/p>\n<p>Weeks pregnant at class start: <span class=\"wpcf7-form-control-wrap\" data-name=\"text-wkspregnant\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"text-wkspregnant\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-wkspregnant\" \/><\/span>\n<\/p>\n<p>Number of sessions: <span class=\"wpcf7-form-control-wrap\" data-name=\"text-numsessions\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"text-numsessions\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-numsessions\" \/><\/span>\n<\/p>\n<p>Length of each session: <span class=\"wpcf7-form-control-wrap\" data-name=\"text-lengthsessions\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"text-lengthsessions\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-lengthsessions\" \/><\/span>\n<\/p>\n<p>Cost: <span class=\"wpcf7-form-control-wrap\" data-name=\"text-sessioncost\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"text-sessioncost\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-sessioncost\" \/><\/span>\n<\/p>\n<p>Class Type: <span class=\"wpcf7-form-control-wrap\" data-name=\"menu-clstype\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" id=\"menu-clstype\" aria-required=\"true\" aria-invalid=\"false\" name=\"menu-clstype\"><option value=\"-please select one-\">-please select one-<\/option><option value=\"Group\">Group<\/option><option value=\"Private\">Private<\/option><option value=\"Intensive\">Intensive<\/option><\/select><\/span>\n<\/p>\n<p>If Group class, how many couples? <span class=\"wpcf7-form-control-wrap\" data-name=\"menu-numcouples\"><select class=\"wpcf7-form-control wpcf7-select\" id=\"menu-numcouples\" aria-invalid=\"false\" name=\"menu-numcouples\"><option value=\"-please select one-\">-please select one-<\/option><option value=\"two\">two<\/option><option value=\"three\">three<\/option><option value=\"four\">four<\/option><option value=\"five\">five<\/option><option value=\"six\">six<\/option><option value=\"seven\">seven<\/option><option value=\"eight\">eight<\/option><option value=\"nine\">nine<\/option><option value=\"ten\">ten<\/option><\/select><\/span>\n<\/p>\n<p>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).<br \/>\nHBCE knowledge and helpfulness:\n<\/p>\n<p>HBCE is positive and inspiring: <span class=\"wpcf7-form-control-wrap\" data-name=\"menu-rating1\"><select class=\"wpcf7-form-control wpcf7-select\" id=\"menu-rating1\" aria-invalid=\"false\" name=\"menu-rating1\"><option value=\"five\">five<\/option><option value=\"four\">four<\/option><option value=\"three\">three<\/option><option value=\"two\">two<\/option><option value=\"one\">one<\/option><\/select><\/span>\n<\/p>\n<p>Confidence in HB and birth: <span class=\"wpcf7-form-control-wrap\" data-name=\"menu-rating2\"><select class=\"wpcf7-form-control wpcf7-select\" id=\"menu-rating2\" aria-invalid=\"false\" name=\"menu-rating2\"><option value=\"five\">five<\/option><option value=\"four\">four<\/option><option value=\"three\">three<\/option><option value=\"two\">two<\/option><option value=\"one\">one<\/option><\/select><\/span>\n<\/p>\n<p>Book, handouts and CDs usefulness: <span class=\"wpcf7-form-control-wrap\" data-name=\"menu-rating3\"><select class=\"wpcf7-form-control wpcf7-select\" id=\"menu-rating3\" aria-invalid=\"false\" name=\"menu-rating3\"><option value=\"five\">five<\/option><option value=\"four\">four<\/option><option value=\"three\">three<\/option><option value=\"two\">two<\/option><option value=\"one\">one<\/option><\/select><\/span>\n<\/p>\n<p>Value of info covered in class: <span class=\"wpcf7-form-control-wrap\" data-name=\"menu-rating4\"><select class=\"wpcf7-form-control wpcf7-select\" id=\"menu-rating4\" aria-invalid=\"false\" name=\"menu-rating4\"><option value=\"five\">five<\/option><option value=\"four\">four<\/option><option value=\"three\">three<\/option><option value=\"two\">two<\/option><option value=\"one\">one<\/option><\/select><\/span>\n<\/p>\n<p>Value of positive birth videos: <span class=\"wpcf7-form-control-wrap\" data-name=\"menu-rating5\"><select class=\"wpcf7-form-control wpcf7-select\" id=\"menu-rating5\" aria-invalid=\"false\" name=\"menu-rating5\"><option value=\"five\">five<\/option><option value=\"four\">four<\/option><option value=\"three\">three<\/option><option value=\"two\">two<\/option><option value=\"one\">one<\/option><\/select><\/span>\n<\/p>\n<p>Learning environment is: <span class=\"wpcf7-form-control-wrap\" data-name=\"menu-rating6\"><select class=\"wpcf7-form-control wpcf7-select\" id=\"menu-rating6\" aria-invalid=\"false\" name=\"menu-rating6\"><option value=\"five\">five<\/option><option value=\"four\">four<\/option><option value=\"three\">three<\/option><option value=\"two\">two<\/option><option value=\"one\">one<\/option><\/select><\/span>\n<\/p>\n<p>Likelihood of recommending HB: <span class=\"wpcf7-form-control-wrap\" data-name=\"menu-rating7\"><select class=\"wpcf7-form-control wpcf7-select\" id=\"menu-rating7\" aria-invalid=\"false\" name=\"menu-rating7\"><option value=\"five\">five<\/option><option value=\"four\">four<\/option><option value=\"three\">three<\/option><option value=\"two\">two<\/option><option value=\"one\">one<\/option><\/select><\/span>\n<\/p>\n<p>Likelihood of recommending HBCE:<span class=\"wpcf7-form-control-wrap\" data-name=\"menu-rating8\"><select class=\"wpcf7-form-control wpcf7-select\" id=\"menu-rating8\" aria-invalid=\"false\" name=\"menu-rating8\"><option value=\"five\">five<\/option><option value=\"four\">four<\/option><option value=\"three\">three<\/option><option value=\"two\">two<\/option><option value=\"one\">one<\/option><\/select><\/span>\n<\/p>\n<p>I was most impressed with:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-comment1\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"textarea-comment1\" aria-invalid=\"false\" name=\"textarea-comment1\"><\/textarea><\/span>\n<\/p>\n<p>What I found least helpful was:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-comment2\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"textarea-comment2\" aria-invalid=\"false\" name=\"textarea-comment2\"><\/textarea><\/span>\n<\/p>\n<p>Overall impression of HBCE:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-comment3\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"textarea-comment3\" aria-invalid=\"false\" name=\"textarea-comment3\"><\/textarea><\/span>\n<\/p>\n<p>I benefitted most from:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-comment4\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"textarea-comment4\" aria-invalid=\"false\" name=\"textarea-comment4\"><\/textarea><\/span>\n<\/p>\n<p>Classes helped the most by:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-comment5\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"textarea-comment5\" aria-invalid=\"false\" name=\"textarea-comment5\"><\/textarea><\/span>\n<\/p>\n<p>Biggest lesson I learned:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-comment6\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"textarea-comment6\" aria-invalid=\"false\" name=\"textarea-comment6\"><\/textarea><\/span>\n<\/p>\n<p>I was influenced most by:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-comment7\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"textarea-comment7\" aria-invalid=\"false\" name=\"textarea-comment7\"><\/textarea><\/span>\n<\/p>\n<p>Overall opinion of HB is:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-comment8\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"textarea-comment8\" aria-invalid=\"false\" name=\"textarea-comment8\"><\/textarea><\/span>\n<\/p>\n<p>My suggestions are:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-comment9\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"textarea-comment9\" aria-invalid=\"false\" name=\"textarea-comment9\"><\/textarea><\/span>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit Evaluation\" \/>\n<\/p><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"167\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-781","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/hypnobirthinglasvegas.com\/index.php\/wp-json\/wp\/v2\/pages\/781","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hypnobirthinglasvegas.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/hypnobirthinglasvegas.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/hypnobirthinglasvegas.com\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/hypnobirthinglasvegas.com\/index.php\/wp-json\/wp\/v2\/comments?post=781"}],"version-history":[{"count":1,"href":"https:\/\/hypnobirthinglasvegas.com\/index.php\/wp-json\/wp\/v2\/pages\/781\/revisions"}],"predecessor-version":[{"id":782,"href":"https:\/\/hypnobirthinglasvegas.com\/index.php\/wp-json\/wp\/v2\/pages\/781\/revisions\/782"}],"wp:attachment":[{"href":"https:\/\/hypnobirthinglasvegas.com\/index.php\/wp-json\/wp\/v2\/media?parent=781"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}