We are continuously striving to improve the quality of our prenatal education programs and your feedback is very important to us. Please complete the following evaluation form. Thank you!

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* 1. What was the date of your class?

Date

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* 2. Who was your instructor?

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* 3. What is your role? 

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* 4. Overall, I found the class to be:

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* 5. What was the most helpful aspect of the class for you?

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* 6. Would you recommend any changes for future classes?

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* 7. Did this class help you to feel more prepared for labor and birth? 

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* 8. Do you see yourself doing anything differently as a result of information you learned in this class? 

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* 9. Please rate your instructor in the following areas:

  Excellent Good Fair Poor 
Attitude/Friendliness  

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* 10. Please rate your instructor in the following areas:

  Excellent Good Fair Poor
Information Presented

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* 11. Do you have an interest in any other community education topics?

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* 12. If you would like us to reach you regarding your interest in other community topics, please leave your name and phone number. 

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