Title
DR
MISS
MR
MRS
MS
First Name
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Last Name
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Email Address
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Type of service you want to give feedback on: •
Private Session
Workshop
Other
What prompted you to book a session or to take a workshop?
What were the symptoms?
How did it affect your life?
What were the qualities that really stood out for you about me as a healer/coach?
How did working with me make you feel? Supported? Safe? Heard?
What were some of the processes used to help you achieve your desired outcome?
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How was the outcome different from what you had previously experienced?
How did it affect your life? Change your outlook?
What made this experience uniquely beneficial for you?
Would you recommend it to others?
Yes
No
If so, Why?
Enter Word Verification in box below
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