After-Class Survey Thank you for taking the time to fill out this after-class survey. Based on your mentor’s instruction, please indicate how well do you understand each of the following processes on a scale of 1 (low) to 7 (high). Pain Coping(required) 1 2 3 4 5 6 7 Warning Breath Awareness(required) 1 2 3 4 5 6 7 Warning Focused Awareness(required) 1 2 3 4 5 6 7 Warning Finding the edges/center(required) 1 2 3 4 5 6 7 Warning When I started this class my confidence in coping with pain was(required) 1 2 3 4 5 6 7 Warning Now my confidence in coping with pain is(required) 1 2 3 4 5 6 7 Warning How much value did you find in the following?Practical information about birth(required) 1 2 3 4 5 6 7 Warning B.R.A.I.N./Making Decisions in birth(required) 1 2 3 4 5 6 7 Warning Information on Epidurals/Pain Medication(required) 1 2 3 4 5 6 7 Warning Cesarean in Awareness(required) 1 2 3 4 5 6 7 Warning Vocalization(required) 1 2 3 4 5 6 7 Warning Birth Art (Labyrinth, Strongest Image of Coping)(required) 1 2 3 4 5 6 7 Warning Hands on Support(required) 1 2 3 4 5 6 7 Warning Info on Postpartum(required) 1 2 3 4 5 6 7 Warning How would you rate your mentor on the following?Explaining practical info about birth.(required) 1 2 3 4 5 6 7 Warning Answering questions clearly(required) 1 2 3 4 5 6 7 Warning Inspiring self confidence(required) 1 2 3 4 5 6 7 Warning How often did you practice pain coping and hands-on support? What did your mentor do to inspire you to practice? What is one thing she could do to inspire more home practice? Warning What was your favorite part of class? Your least favorite? What is one thing you wanted to see happen differently, or have more or less of? Warning What did you learn about yourself? About your partner? Warning How did you hear about this class? Warning Would you recommend this class to a friend? Y/N Warning Anything else you’d like your mentor to know? Warning Name (optional) I am willing to have my comments shared publicly? Y/N Warning Warning. Submit SurveySubmitting form Δ
