♥ Teacher Evaluation Form ♥

Bradley® Class Teacher Evaluation Form

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Please help us by giving us your comments about the Bradley® class you have completed. It is our goal to present the best classes possible and provide constant updates and improvements.

Please fill out the information and return to your teacher. Thank you.

Nancy & George


This form is only for evaluating classes with Nancy & George Berntsen, AAHCC, serving the greater Bridgeport and New Haven areas of Connecticut.
Do not use this form for others' childbirth classes.

All Information submitted will be kept confidential. It will not be shared with anyone else except by permission.

You will be re-directed to a confirmation page that you can print for your own records.




Series Start Date if known:     

Today's Date:  

           Please make sure your email address is correct.

Mom: Last Name                          First Name

Dad or Coach's Last Name:        First Name:

Your Current Full Address:

Class location (town/city):

This form is being prepared by:

1.How did you hear about this class:

(hold down control key to select more than one)

2. The class met each week for:

3. Class was held:

Rate the following questions "4" would be very good or high,
while a rating of "1" would be poor. Follow rating with
comments if you wish.

1. How would you rate the classes overall?
(4) (3) (2) (1) (NA)

2. Did you feel the teacher was well prepared?
(4) (3) (2) (1) (NA)

3. Were vocabulary and technical words explained?
(4) (3) (2) (1) (NA)

4. Was nutrition covered each week?
(4) (3) (2) (1) (NA)

5. Were practical examples used to clarify points in the
(4) (3) (2) (1) (NA)

6. Did the teacher relate to ALL students?
(4) (3) (2) (1) (NA)

7. Were visual aids used effectively?
(4) (3) (2) (1) (NA)

8. Were class objectives clear and summarized?
(4) (3) (2) (1) (NA)

9. Was there adequate time for questions?
(4) (3) (2) (1) (NA)

10. Was weekly time allotted for skill training (relaxation,
exercises & communications) ?
(4) (3) (2) (1) (NA)

11. Was the teacher successful in keeping the discussion
related to the subject?
(4) (3) (2) (1) (NA)

12. Did the teacher maintain the interest of the class?
(4) (3) (2) (1) (NA)

13. Were students encouraged to participate in the lessons?
(4) (3) (2) (1) (NA)

14. Was the student workbook followed and used?
(4) (3) (2) (1) (NA)

15. Have the classes prepared you for labor & birth?
(4) (3) (2) (1) (NA)

16. Did you feel free to call your teacher with your questions
outside of class?
(4) (3) (2) (1) (NA)

17. How would you rate the labor rehearsals?
(4) (3) (2) (1) (NA)

18. Did evaluations or quizzes help you rate your own
(4) (3) (2) (1) (NA)

19. Were questions answered carefully?
(4) (3) (2) (1) (NA)

20. Please rate the following about your instructor:
Voice quality (4) (3) (2) (1) (NA)

Enthusiasm (4) (3) (2) (1) (NA)

Posture (4) (3) (2) (1) (NA)

Mannerisms (4) (3) (2) (1) (NA)

Use of English (4) (3) (2) (1) (NA)

"Professionalism" (4) (3) (2) (1) (NA)

Name the fact you learned in class that impressed you the

How would you change or improve the classes:

What was your favorite session:

What was your least favorite session:

General Comments:

You grant George & Nancy Berntsen permission to
use your evaluation and/or general comments
anonymously (initials and town) to promote their classes.

R375PE ©2004 AAHCC®


Home | Registration Form |Teacher Evaluation Form | Birth Report Form | Current Class Schedule

copyright 2010, Nancy Berntsen

This is not an official Bradley Method® website.
Visit http://bradleybirth.com for more information
and a registry of other certified Bradley® instructors.
AAHCC is the American Academy of Husband-Coached Childbirth.


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Send mail to naturalbirthprep[at]yahoo.com with questions or comments about this web site.
Copyright © 2008-2010 Nancy Berntsen
Last modified: 02/18/14

* DISCLAIMER: This website is for informational purposes only and is not medical advice.
Please consult with a qualified health care provider regarding your specific needs and concerns.

This web site contains information about our classes available in Shelton, CT and is not the official website of The Bradley Method®
The views contained on this web site do not necessarily reflect those of The Bradley Method®
or the American Academy of Husband-Coached Childbirth®.