Registration Questionnaire Thanks for registering at Portland Birth Classes, and for taking a moment to fill out this short questionnaire. We look forward to seeing you soon! Name(required) Estimated Due Date (YYYY-MM-DD) Are you planning to take the class with another person? If so, what is their name? Is this your first birth?(required) Yes No Your partner's? Yes No Where are you planning to give birth? How did you hear about the class? Anything else you'd like us to know? Submit Δ