Pre-Course Questionnaire - Birth Partner

Please complete your answers with as much detail as possible so that your course material can be tailored to suit your needs. All information given is completely confidential.

Pre-course questionnaire - Birth partner

Name:*
Course Date & Location:*
What is your partner's name (if your surnames are different)?:
What was your initial response when you found out you were expecting a baby?:
How has this pregnancy effected your relationships with your partner/other members of your family?:
How will the baby fit into your current lifestyle? Will a baby alter your lifestyle significantly or change longterm plans? If so how?:
How do you feel your partner will cope with the birth?:
How do you think you will cope during the birth?:
What are your particular concerns/fears about the birth?:
How do you plan to support your partner during the birth?:
How do you like to relax?:
Describe somewhere you could have as a 'special place' either real or imaginary, somewhere which only has positive associations for you.:
Do you have any fears, phobias or allergies?:*

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.