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Big Birthday Report

Please take a few minutes to tell us about your birth, your beautiful baby and your childbirth education class.

Big Birthday Report Form

Big Birthday Report Success

1.  What is your name?

2.  Who was your instructor: Mary Kahrs or Eva Sommese?

3.  Did you have a boy or a girl?

4.  What is your baby’s name?

5.  Your baby’s birthday?

6.  How much did he/she weigh?

7.  Tell us about your birth: the highlights and any low-lights.

8.  What did your coach do that helped the most?

9.  What did you learn in class that helped the most?

10.  Was there something you needed to know but didn’t?

11.  Any suggestions for improving classes?

12.  How are things now?

13.  Is there anything we can do to help?

14.  Would you like more information regarding our New Mothers’ Group or My Baby and Me programs? (Please check Yes or No)

Yes No

At CFA our goal is to help families become stronger more stable sources of health well being and fun.

15.  If you wouldn’t mind please tell us if one of our programs or instructors provided you with new insight, a new skill, a bit of knowledge or even a new friend. We like hearing good things :-)

16.  Can We Share This Information With Others? (Please check Yes or No)

Yes No

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We Look Forward To Hearing From You!
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