Tell us about your birth experience using The Bradley Method®.
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Mother's First Name*
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*
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Mother's Last Name*
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*
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Father's First Name
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Father's Last Name
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Country*
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Address*
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*
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City*
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*
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State*
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Zip/Postal Code*
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*
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Plus Four
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Email*
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*
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Baby's Name*
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*
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Birth Date*
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Birth Place
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Birth Place Type
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Medical Attendant
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Labor
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Birth
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Drugs
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Birth Data
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APGAR
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Baby's Sex
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Baby's Weight
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LBS
Ozs
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Mom's Weight Gain
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Siblings at birth
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Others at birth
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Did you take pictures?
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How many previous births
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Number of classes attended
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Did you attend
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Please rate your classes
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Please rate your birth
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Please feel free to share your birth experience and any comments in the box below. We care. THANKS!
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Congratulations and thank you for helping us keep accurate statistics for students of The Bradley Method®!
All information submitted will be kept strictly confidential.
Submit my information
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