Practice Client Feedback Form

Thank you for completing a Channeled Reading or Channeled Healing Session with one of our Advanced Channeling practitioners.

We sincerely appreciate your willingness to complete the following Practice Client Feedback Form with a critique of your session.

This information is kept both private and confidential, and your feedback from the session will only be discussed in terms of performance of the Channel’s experience. At no time will any of your personal information be shared.

If you have any questions about this or any part of your Reading or Healing Session, please contact CONNIE VIVEROS at connie@connieviveros.com or by phone at 650-906-8724

Your Name *

First

Last

Name of Your Spiritual Channel

Date Completing This Form

Date of Your Channeling or Healing Session

Please Select What Type of Session

What was the area of focus of your channeling or healing session? *

On a scale of 1-10, how satisfied are you with your reading/healing? 1 = not satisfied, 10 = very satisfied.

What was your experience of receiving a channeling/healing session, please describe? *

Please share in short paragraph

In what ways have you gained, learned, or benefited from this session? *

Please share in 2-3 sentences

Other comments or observations on your channeling and/or process:

Are you interested in knowing more about Angels Emerging's Channeling Programs?

Yes, please send me info
No, not at this time
Maybe in the future