Share Your Experience

It is an honor to have the opportunity to assist you in your healing .
Your sharing may help others in their own journeys.
If you would like to take a moment to share , please complete the following,
(or feel free to write whatever you would like!)
Thank you !

When we first started working together, what were you struggling with that motivated you to seek therapeutic treatment with me ?

How were those challenges affecting your body, your well-being and your life?

What benefits or results did you achieve? What did you (or do you) experience as a result of your treatments?
(Include changes in physical, emotional, or mental symptoms, including: stress level, sleep, digestion, mood, energy level, mental clarity, self-awareness, return to activities you enjoy, greater ease or improvement in daily life tasks, etc.)

Approximately how long did it take for you to notice changes?

during first visitImmediately after first visit24-36 hours following first visitwithin 2-3 visits
Other:

How have these improvements affected your health, your family, your career, or your life?

How did you / do you feel as a result of these changes?

Please share anything else you would like:

May I have permission to share your name or initials? If so, please write them as you would like them to be shared:

Name

Date

css.php