Using the following scale, please answer the questions accordingly:

5-Excellent, 4-Good, 3-No Opinion, 2-Not so good, 1-Poor

Name: (not required)

How was the scheduling of your session?:

Was the session environment clean and comfortable (I really won't take this personal)?:

Were you able to relax and openly share in your session?:

To what degree were your personal beliefs addressed?:

When you left our session, how did you feel?:

Please rate your overall session experience:

What did you particularly like about your practitioner session?: Please elaborate?

Is there anything you would like to tell me you didn't feel comfortable with?: Please elaborate?

Thank you for taking the time to assist me in my efforts to create the most transforming, blissful experience out of our session work together.