View fullsize Feedback Form Name * First Name Last Name Date MM DD YYYY Email * How was your overall experience in your session today? What was a highlight for you? Were you able to gain clarity on your current situation with the information provided to you? How did you find the relevancy of the information provided to you at this time in your life? Was the information you received enough for you to take action towards next steps? This session meet your expectations. Strongly Disagree Disagree Neutral Agree Strongly Agree Is there anything else you would like to share? Would you be willing to write a testimonial that I might share on my website and/or social media? Thank you for taking the time to complete this information! I look forward to working with you to discover your Dharma!