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[2] Before - How intense was the condition before the healing experience? *

(0 = Can't feel it - 10 = Unbearable)

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[5] After - How intense is the condition now after the healing experience? *

(0 = Can't feel it - 10 = Unbearable)

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[8] How satisfied are you with your experience? *

1 = unsatisfied, 3 = it was okay, 5 = extremely satisfied

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Name *

(Last name will be kept private, first name optional)

First Name

Last Name

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optional - please select what details you are willing to share publicly. If you select nothing, your feedback will be listed as anonymous. Sharing your first name and picture with your feedback goes a long way for the validity of the feedback to others (which helps me out even more!) You can also choose to keep all your feedback private for me only and I will not show it as even an anonymous testimonial. I will respect your privacy :)

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Do not show my feedback at all, even anonymously - keep all my feedback private