Breastfeeding Survey

Breastfeeding Pre-Class Survey

* Indicates required field

Name *

Have you taken a childbirth class? *

Yes, at a hospital Yes, with an independent childbirth educator No, but I plan to No, I am not planning to

What is the most important thing you want to learn during this class? *

Is there anything we should know about your learning style, concerns you have about class, or anything else we should know? *

Any food allergies/restrictions/preferences (for snacks)? *

Submit