You may not be pregnant at this moment, but if you were, and you were considering taking childbirth education classes... 1. What type of classes would you like to have available? please check all that apply Early Pregnancy - A class covering nutrition, exercise, physical and psychological changes, symptoms of prenatal problems, precautions to take, fetal development, and choosing a care provider. General Childbirth - A class covering physical and psychological changes, fetal development, stages and phases of labor, effective relaxation and pain coping techniques, medical options and practices, cesarean delivery, postpartum concerns, and newborn care. Active Childbirth -  A class covering how to communicate with your care provider, writing an effective birth plan, choosing your birth team, preventing posterior babies and other malpositions, understanding the risks and benefits of common interventions and labor drugs (while not discounting them as a viable option), gaining trust in and working with your birthing body, and in-depth practice of coping techniques such as breath awareness, movement, massage, visualization, vocalization, and aromatherapy. Natural Childbirth - A class for parents wishing to go all natural, planning a home birth, or a drug free, intervention-free hospital birth. This class would incorporate many of the pain coping techniques of the active childbirth class with an emphasis on working with your body and understanding the benefits of labor. In addition herbals and essential oils as well as acupressure techniques will be covered. Christian Childbirth - A class for parents wishing to embrace the Christian Faith as a source of strength and encouragement throughout pregnancy and birth. Devoted to birth issues from a Biblical perspective, the class will be designed to help one prepare for labor while drawing near to God. Included will be topics such as “how faith impacts labor”, “how Biblical principals direct our decision making process“, and “how faith helps one handle the pain and challenges of labor”. Gender Specific - Women Only class - A general childbirth class for anyone (whether by culture, necessity, or preference) who would like to prepare for pregnancy, labor and birth in a secure, non-intimidating all female environment. Subject Specific Classes - choose and invest in only the specific topical classes you wish to attend. Each class would consist of 1 meeting of approximately 2-3 hours. If you checked this class, please check the subjects below that would interest you. Physiology of pregnancy, labor and birth Diet, Nutrition, and Exercise during pregnancy Understanding and Coping with labor pain Scripture and worship for labor and birth Common interventions, drugs, and procedures Fathers as labor supporters Breastfeeding and baby wearing Baby’s first week home New dads - men only class                         Other                                                                                                          Other                                                           2. What format of childbirth classes would meet your needs best? 1 day intensive class lasting 9 hours 2 weekend classes lasting 5 hours each (I.e. 2 Saturdays in a row) 1 weekend workshop; total of 10 hours split into two consecutive days; Fri evening & Sat morning 7 weekday evening classes of 2 hours each (I.e. every Monday for 7 weeks in a row) 4 weekday (daytime hours) women only classes 3 hours each 4 weekday evening classes of 3 hours each Topical classes that meet 1 time for 2-3 hours Other                                                                   3. As far as you know, what childbirth classes are offered in the Fox Valley area?                                                  4. What other childbirth classes or methods would you like to see offered in the Fox Valley area?                                                                                                                 Thank you for your time and consideration. To receive your participation discount certificate worth $50 in services*, please fill in your name,address, email, and expectant due date information, and submit your survey. name                          first name                          last name address                                                                                    street                                       city                                               state     zip code                                                                                 email baby is due on                          or enter "not expecting"                                month / day / year

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*This discount certificate is good for $50 off regularly priced doula services, 10% off reduced doula fees for lower income families, or 10% off a future childbirth education class. May not be combined with any other offer.