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*

MonthDayYear
Date
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*

InflammationSleepReversing / Preventing Dementia and Cognitive DeclineAutoimmune DiseasesRest / SleepWeightDigestionChronic stressOther
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.*

YesNoNot sure
Name (optional, but necessary if you are interested in a free coaching session)*

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

Area CodePhone Number
Enter the message as it's shown*
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