"I am very proud of my skills and ability to facilitate healing and I strive toward a successful and beneficial experience for my clients. Toward that goal, I ask for your feedback on your recent experience with my services."

Please take just a couple of minutes to provide me with the following:

Name
Email address

How did you hear about my services:
	web search engine: which one
	personal referral : name
	agency or business: name
	previous client: when/where
	other :

The next questions are based on a scale of 1-10 with 1 being really BAD and 10 being really GOOD!
Ease of using website
Ease of making an appoint
Ease of contacting me
Usefulness of material provided
Did you feel prepared
How easy was it to understand
How well did I present the information
Did the handouts match the overhead presentation
Was there enough question and answer time
Did you feel you received what you expected
Was your event/appoint on time
Was the schedule for the event/appoint convenient
Please use the following comment box to add any suggestions ask any questions or address an issue we have not covered.
I have questions/feedback/comments:
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