Feedback form for Nervous System & Somatic Release Class 1. Name * First Name Last Name 2. Are you finding the classes enjoyable? * Extremely Yes Could be better 3. Do you feel relaxed and more connected to your body after class? * Yes, very much Most of the time Not always 4. Which aspects of your life have improved since attending this class? * Check all that apply: A sense of calm Improved sleep Better digestion Improved mood Increased awareness of my body Deeper breathing More mindfulness/ present in the moment Better understanding of my Nervous System Less stress Less reactive Less chronic pain All of the above! 5. Does this class feel supportive to your life overall? * Yes, I notice many benefits Yes Not sure 6. Would you recommend this class to a friend? * Definitely I'd consider it No 7. What aspects feel supportive to your overall experience during class? * Check all that apply: The music is relaxing The lighting is calming The space is aesthetically pleasing and cozy The lavender essential oil I'm not sure 8. When the session ends, would you like to continue into another session? * Definitely Hopefully Depends of the schedule Probably not 9. Keeping in mind the nature of this class, is there anything you'd like to be doing more of? * 10. If you would like to, please write a testimonial for my website about your experience taking this class. (how does it feel? what do you enjoy? how has it helped you?) * If you prefer not to write a testimonial, just leave one word in the box. 11. How would you like to sign the testimonial (it will appear on my website)? * Options: First + Last name, First name only, Initials, Anonymous. First Name Last Name Thank you! I truly appreciate you taking the time to give me feedback!
