Feedback: Talk / Workshop

Feedback: Talk / Workshop

Thank you for attending!
I would be very grateful if you could take a moment to answer these questions about the talk/workshop you attended with me. Thank you!
Date

Month Day Year
Date Date Picker Icon
What is the name of the talk you attended? If you can't remember the title, please list location and/or date:
On a scale of 1-10, how much did this talk meet your expectations (1= not at all; 10=totally)
What, if any, were your biggest take-aways?
What did you wish you had learned, that we didn't cover?
What would you be interested in learning about in future sessions in terms of stress, rest, weight, digestion, wellness, health, healing?
Check all that interest you

Inflammation Sleep Reversing / Preventing Dementia and Cognitive Decline Autoimmune Diseases Rest / Sleep Weight Digestion Chronic stress
Any additional comments about the talk or your interests:
Are you interested in setting up a free, wellness coaching session with me to discuss questions from the talk - or to work on an area where you would like to have a personal transformation? If yes, please be sure to include your contact info in the next section.

Yes No Not sure
Name (optional, but necessary if you are interested in a free coaching session)

First Name Last Name
Email (optional, but necessary if you are interested in a free coaching session)
example@example.com
Cell Phone Number

Area Code Phone Number
Enter the message as it's shown *
Should be Empty: