Shot of Calm Feedback

Name

First Last

Email Address

How would you describe your experience during the session

Did you notice anything after the session - during the days or weeks following

Did you experience chaos (old issues lifting out) after the session? How did you handle that?

Do you have any questions for me?

Is there anything else you'd like to tell me?

Would you be okay with providing a testimonial to be posted on my website?

Yes
No

Testimonial Information

If you elected not to fill out testimonial information, please scroll past this section to the submit button where you can end this session. Thank You!!

Would you like to script your own testimonial or would you be okay with me scripting one based on information you've already provided?

I'll write my own testimonial
Do it for me

Testimonial in your words

Please provide your website URL if you'd like me to link to your site with as part of your Testimonial

Please upload a photo if you'd like it included with your Testimonial

Max. file size: 500 MB.