Certification Brainspotting Session

Feedback Form

Thank you for choosing to have a Brainspotting session with me. I hope you found the experience valuable — your feedback is important and helps me to continually refine my work.

I’d be very grateful if you could take a few minutes to complete this short feedback form about your session. There is also space at the end if you’d like to share a testimonial, or to pass on the opportunity to experience Brainspotting to someone you feel could benefit.

First name

Last name

Session Date

Preferred email

On a scale of 1-5, how worthwhile was your Brainspotting session?

5 - Really worthwhile and I will definitely tell others about this!

4 - Good. I enjoyed it and might tell others about it

3 - OK

2 - Meh - now I know what Brainspotting is about

1 - Did not enjoy it at all

Please say how you found your Brainspotting session. Please include any update on the issue that you focused on in your session and any change in the activation levels (feelings) that had you before / during the session regarding this issue.

Did the session match your expectations?

I am willing to provide a testimonial about my Brainspotting session

Yes

No thank you

I'd prefer to make a referral

I'd like to make a referral as well

Did you use the BioLaterial Sounds during your session?

Yes

No

Other

The one thing I suggest Margot should change is...(you can say more than 1 thing if you'd like to)

I am interested in finding out about further coaching / Brainspotting sessions with Margot

Yes. Please contact me.

We already discussed this during my Brainspotting session.

Possibly in the future - I will contact Margot should I need to.

No thank you

I agree to receive the occasional email update

Yes

No thanks

Proposed emails will take the form of a short newsletter and will include promotions such as session package deals, new products and modalities or anything else relevant to your healing and increased happiness. Newsletters will not be sent more than 4x per year. *Contact details are treated with the strictest of confidence and you will not be spammed.

Thank you for your time and for being part of my certification process.

It is ok to include my location