Thank you for taking the time to fill out this questionnaire. Your honest feedback helps me to improve my services for families I will serve in the future. I appreciate this opportunity for personal and professional growth. Please enable JavaScript in your browser to complete this form.Please comment about our time together. Was there anything that was particularly helpful or nourishing for you or your family? Please be specific – suggestions I made, resources I gave, treatments, personal qualities, etc.? Was there anything that I could have done differently that would have been more supportive/useful?Are you willing to serve as a reference for future clients?YesNoIf yes, what is the best email or phone number to reach you?May I have your permission to use all/part of your responses on my website as a testimonial? I will only use your first name. SureNo thanksMay I have your permission to use photographs of your baby/family on my website?YesNoYes, as long as I or my baby are not identifiable.PhoneSubmit
