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MsHec3 Project Client Review
Please complete the following based on your experience.
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Todays Date
MM
/
DD
/
YYYY
Your Name
Your answer
Practitioner Seen
Dana Cummins
Rebecca Cutehands
Celeste Holly
Oleta Clay
Amber Riley
Sharon Kelley
JoLynn Maas
Toria Hungerford
Dani Yanssens
Cindy Holt
Clear selection
Service Received
Spiritual Counseling
Meditation
Energy Work
Long Distance Healing
Reiki
Spiritual Readings
Yoga
Teachings
Sound Healing
Shamanic Journey
Other:
Please describe your experience when working with your practitioner.
Your answer
What was the outcome of your session?
Your answer
Would you like someone to follow up with you?
Yes
No
Maybe
Clear selection
Do you feel like another session with this practitioner would be helpful to you?
Yes
No
Clear selection
Do you feel like working with someone else who is/might be more beneficial for you?
Yes
No
Maybe
Clear selection
If yes, who would you like to work with?
Dana Cummins
Rebecca Cutehands
Celeste Holly
Oleta Clay
Amber Riley
Sharon Kelley
Jadi Maas
Toria Hungerford
Dani Yanssens
N/A
Clear selection
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