Client Feedback for Freedom Bodywork

Client Name: (optional)

Approximate Date of Session:

Your Email: (optional)

Please be candid and direct -- this will allow Heidi to learn and improve her skills!

What kind of session did you have?
Hands-FreeTraditional Thai Full-BodyCoaching the Body Focused Area

If you had a CTB session, What is the issue you asked Heidi to work with?
[checkbox checkbox-529 "head/neck/face" "shoulder" "forearm/hand" "mid-back/chest/abdomen" "low-back/gluteal" "hip/thigh/knee" "lower-leg/foot”]

Additional Info:

Do you feel that Heidi adequately addressed your issue? yesno

Please rate the pain level or other sensation you came in with on a scale of 1-10? —Please choose an option—1 - least pain2345678910 - most pain

What is your pain/other sensation level now? —Please choose an option—1 - least pain2345678910 - most pain

What was your most favorite part of this session?

What was your least favorite part of this session?

Would you book another session with Heidi? yesno
[text text-859 placeholder "Why or why not?”]

Please provide any additional comments here about the session

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