Brainspotting Session

Feedback Form

Thank you for choosing to do a Brainspotting session with me. I hope you found the session valuable and your experience is important to me.

I would be most grateful if you would complete this short feedback form to tell me about your session experience. Also included below is space to include a testimonial, if you are willing and / or the opportunity to refer Brainspotting to somebody you feel could benefit.

First 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

The most valuable thing(s) from my Brainspotting session with Margot was...

My least favourite part of the sessions was...

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

I am willing to provide a testimonial about my Brainspotting session

Yes

No

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

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

Yes. Please contact me

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. Your feedback is valuable.