Service Feedback Form
I would love to hear your thoughts, suggestions, or concerns regarding your experience! I am deeply receptive to and grateful for all feedback and/or testimonials, and ask you to be as honest and authentic as possible. Thank you!
Feedback Type
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Public Testimonial
Private Feedback
What type of service did you have?
Describe Your Experience. Please share what feels important to you! (Some questions to think about: 1. How did you feel before vs. after the session? 2. What did you take away from the experience? 3. Did you feel safe/supported in the way the session was facilitated? 4. Was there anything particularly special or unique about this experience for you? 5. Could anything have been done differently to make the experience better for you? 6. Would you recommend this service to others?):
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Name
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First Name
Last Name
E-mail
*
example@example.com
If this is a testimonial, how would you like your name displayed?
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Full Name
First Name and Last Initial
First Name Only
Private Feedback Only
If this is a testimonial, and you are on Instagram, include your username here (@) and I will mention you in the post caption (otherwise leave blank)
If this is a testimonial, please consider uploading a photo to attach to your review and give it even more life! (optional)
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