Springs Eternal Feedback Form

Springs Eternal Feedback Form

Thank you for working with me as a client. Please use this form to leave feedback at any time. You can use it more than once. There are some prompts below to get you thinking but feel free to write anything you would like to share. I would love to hear from you. If this work has helped you and you think it could help other people you know, please pass on my details. Best wishes, Simon
https://springseternal.co.uk/

simon.springseternal@gmail.com

https://www.instagram.com/energy.springseternal/

https://www.facebook.com/profile.php?id=61575979005004
1. Which type(s) of treatment did you receive (select all that apply)

Emotion CodeBody CodeBelief CodeHeart Wall clearing
2. What issues did you initially want to work on through this work?
3. How did this work help you with these issues, if at all?
4. Did the work help with any other issues or did you notice any other benefits or improvements? Sometimes these can be subtle and different from the original expectation.
5. Were there any side effects from the work that you experienced? Did you feel suitably informed about these in advance?
6. Were there any things that could have been improved about the sessions or the service as a whole?
7. Would you recommend me to someone else?
8. Would you be happy to write something about your experiences that I could use as a testimonial?
9. Would you be happy for me to use your testimonial / any of your responses in marketing material (including on my website and on social media)?

NoYes, testimonial onlyYes, any responses
10. If yes, would you prefer to be identified by:

First name and initial of surname (e.g. Simon P)First name only (e.g. Simon)AnonymouslyOther
11. Is there anything else you would like to share?
Name (this will only be used to the extent you identify above)

First NameLast Name
Email
example@example.com
Should be Empty: