Union Health Childbirth Education Experience Survey
*
1.
Which class did you participate in?
(Required.)
In-Person
Virtual
2.
On a scale of 0-5, please rate the
overall experience:
1 star
2 stars
3 stars
4 stars
5 stars
3.
On a scale of 0-5, please rate the
registration process:
1 star
2 stars
3 stars
4 stars
5 stars
4.
On a scale of 0-5, please rate the
instructor communication:
1 star
2 stars
3 stars
4 stars
5 stars
5.
On a scale of 0-5, please rate the
instructor organization:
1 star
2 stars
3 stars
4 stars
5 stars
6.
On a scale of 0-5, please rate the
class content:
1 star
2 stars
3 stars
4 stars
5 stars
7.
On a scale of 0-5, please rate the
length of the class:
1 star
2 stars
3 stars
4 stars
5 stars
8.
On a scale of 0-5, please rate the
location of the class:
1 star
2 stars
3 stars
4 stars
5 stars
9.
Did the childbirth class empower you and prepare you to make informed decisions about your labor, delivery, and care of newborn?
Yes
No
10.
Is there anything you wished to learn about that was not covered, or spent enough time on during class?
11.
Are there any other comments you would like to share?
