Feedback form Name * First Name Last Name Email * Session Date * MM DD YYYY What session did you have? * 15-min Stillness Session 30-min Consult Focusing Inner Dynamics Regression Therapy Nutripuncture What is your overall sense of how the session went? * What did you appreciate about what you received from your guide? (Please be as specific as possible.) * What didn’t you appreciate and what you would prefer? (Please be as specific as possible.) * Do you have questions about the process? * Other comments: Would you like me to get in touch with you to discuss your feedback? * Yes No Thank you for your feedback.