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The path to greatness is through the eyes of humanity and humility not through the eyes of judgment.

~ Unknown

To All Therapy Participants, Welcome AND We Look Forward to Partnering With You!

~Please provide your service and/or product feedback~

How long have you been using our products and/or services?

Just getting started

About a month

2-12 months

Over a year

How often do you use our products and/or services? *

Every week

Biweekly

Once or twice a month

Bi-monthly

Please rate your overall satisfaction with our products and/or services.

Very dissatisfiedA bit dissatisfiedPretty satisfiedSatisfiedVery satisfied

Where do we need to improve?

What can we do to improve? Please be specific.

Your email address

First name optional

Last name optional

Phone optional

What are you satisifed with? Please be specific.

Please share any questions you have with us.

Therapist Name

Select entry date

What products and/or services do you use?

Thanks for sharing! We always strive to improve.

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