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General Survey
*
Indicates required field
Please select all that apply
*
I have attended at least one group session
I have participated in a program
I have received one-on-one healthcare
I would like to begin a program or one-on-one sessions
I would like to do TeleCare or a distance option to participate in naturopathic healthcare
I need more information before I could commit
Please select what is applicable to you
*
I would value more balance in all realms of my life
I would like to learn stress management techniques
I intend to set clear intentions and to do so with the collective energy of a group aiming for self-improvement and connection.
I would like to deepen my spiritual experience and/or intuition
I am ready to advance myself, up my game, feel better, and live with purpose and full of inspiration
I like informational print outs provided during group sessions
I am willing to pay $10 + per session
All of the above
Please select your best availability times
*
week day evenings
week day lunch hour
weekend evenings
weekend morning or mid-day
weekend evenings
If Other please specify:
*
Would having snacks provided be helpful in being able to attend?
*
yes
maybe, I have food sensitivities
Option 3
Optional opportunity to comment; please state your experience!
*
Would you prefer online meetings?
*
Yes
No, I enjoy in-person groups
Sometimes
Name
*
First
Last
Email
*
Phone Number
*
Submit
Satisfaction Survey
(post services)
Were you educated in the differences between conventional medicine and holistic care (the treatment plans, methods of evaluation, etc.), specifically how Heather Holistics approaches heathcare?
*
Yes
No, but I would like to be informed
I would like more information
*
Indicates required field
Do you feel as if an area of your health needed more evaluation or attention?
*
Yes
No
Possibly
I would like to re-start or continure care
Email
*
Phone
*
Name
*
First
Last
Do you feel comfortable contacting Heather Holistics for:
*
General Health concerns and care
Unexpected conditions (emergencies)
Minor issues and questions
Health complications or advancesd care
All of the above
Were all of your questions adequately addressed and did you feel listened to and understood?
*
Yes
No
Somewhat
How much have you gained from the care you received? Are you:
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Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
Has Heather Holistics exceeded your expectations? Do you have any suggestions for the services, experience or content provided?
*
Please candidly answer the following questions. Please include any additional comments. Your participation is very much appreciated and used to improve the quality of Connection 2 Health’s (C2H) services.
Can your positive remarks be used as testimonials?
*
Yes
No
Option 3
Submit
Welcome
Meet The Team
Get Started
*My Secret*
Make a Payment
Sanctuary
Services
Menu & Programs
>
Vitality Club
Connection
Functional Medicine
>
Q & A
Energy Healing
>
Body Scan
HEB
Member
detox
Events
Blog
Store
Endorsed Products
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