Feedback Form for our Sessions

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We would love to hear your thoughts or feedback on how we can improve your experience!

Name *

Phone Number *

Number of sessions done as of now *

Mode of session *

Online

Offline - Dadar West

Offline - Dadar East

Quick Ratings :

How would you rate the following?

Feeling heard and understood

Poor

Excellent

Quick Ratings :

How would you rate the following?

Emotional comfort during session

Poor

Excellent

Quick Ratings :

How would you rate the following?

Clarity or insight gained

Poor

Excellent

Quick Ratings :

How would you rate the following?

Overall experience

Poor

Excellent

What helped you the most?

Any suggestions? (Even Better If....?)

Any Comments?

Consent to use feedback as testimonial ?
*

Yes, Anonymously

Yes, with first name

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