Evaluation Form for Student Childbirth Educator

Please complete the following form each time you evaluate a class. You and the student will each receive a copy of the form. If you should have any concerns call 916-525-7596 or email us.

Thank you!

Evaluation

Evaluation

Your First Name and Last Name *

Your Email Address *

Full Name of birth educator that you're evaluating *

Instructor's email address *

Which class is this evaluation for: *

Class one

Class two

Class three

Date of this class *

The educator was dressed professionally for class *

3 Excellent

2 Fair

1 Poor

The educator was prepared for class *

3 Excellent

2 Fair

1 Poor

Class began and ended on time *

3 Excellent

2 Fair

1 Poor

The instructor knew the content well *

3 Excellent

2 Fair

1 Poor

The instructor communicated the class agenda *

3 Excellent

2 Fair

1 Poor

The instructor was organized *

3 Excellent

2 Fair

1 Poor

The instructor was organized *

3 Excellent

2 Fair

1 Poor

The instructor integrated evidence-based information *

3 Excellent

2 Fair

1 Poor

At least 30 minutes was provided to learn and practice coping techniques *

3 Excellent

2 Fair

1 Poor

Which breathing, relaxation, coping methods were taught? *

Effectively promoted informed decision making *

3 Excellent

2 Fair

1 Poor

Effectively promoted group participation *

3 Excellent

2 Fair

1 Poor

Encouraged students to ask questions *

3 Excellent

2 Fair

1 Poor

What type of visual aids and teaching tools were used? *

Visual aids were used effectively *

3 Excellent

2 Fair

1 Poor

Created an enjoyable learning environment *

3 Excellent

2 Fair

1 Poor

Instructor covered the information on agenda or class outline *

3 Excellent

2 Fair

1 Poor

What are your overall impressions of the class, the strengths *

What can the instructor change, improve, add... *