Thank you.

I am grateful that we had the opportunity to work together, and hope that it was worthwhile, enriching, and helpful to you. I very much welcome your honest thoughts about your appointments, insights, and overall experience. The survey below can be completed in just a few minutes (although, please take as long as you like). Your thoughts will help inform the future of my practice and the ways in which I help others.

Name

First Name

Last Name

Overall Satisfaction

On a scale of 1-5, in which 1 is the lowest possible rating and 5 is the highest, how would you rate your experience with Adam

Do you feel like the issues you had initially have been resolved? Which issues were resolved, and which were not?

Is there anything that you think we should have talked about that didn’t come up?

What did you like best in your sessions and work with Adam? What worked well for you? (And also, what was not helpful?)

How has our work changed you? What insights do you have now and what new practices or personal changes will you continue now that our work has come to a close?

Any Other Thoughts or Comments?

If you have any other thoughts or ideas that you would like to share, please do...

Thank you.

Adam Scheldt Wellness