Testimonial Form
It was a pleasure to work with you! If you'd be so kind, please use this testimonial form to provide feedback on your experience. Thank you!
Name
*
First Name
Last Name
Which program did you participate in?
MBSR (Mindfulness Based Stress Reduction)
MSC (Mindful Self-Compassion)
SCHC (Self-Compassion for Healthcare Professionals)
Strength Finder's
Other
Your Experience
What was your experience with this program and/or working with Lisa?
Note About Testimonial Use
By clicking "Submit" you are agreeing to the following terms.
Terms:
You agree that we may publish your testimonial, together with your first name/last initial and photo (if provided) on this website[ and on any successor website that we may operate from time to time], on such pages, print, and in such position, as we may determine in our sole discretion. You further agree that we may edit the testimonial and publish edited or partial versions of the testimonial. However, we will never edit a testimonial in such a way as to create a misleading impression of your views. [You may terminate this license by giving to us 30 days written notice of termination.]
Type Name
E-Signature
Date
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Month
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Day
Year
Date
Submit
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