Participant FeedbackParticipant Feedback FormParticipant FeedbackParticipant NameSteward Name(s)Participant Feedback(Remains with Steward or returned to Steward by mail or email)Please rate your experience of the session using this scale:(0 = no value, 5 = excellent value): 0 1 2 3 4 51. How useful was the session to your sense of health? 0 1 2 3 4 5Comment:2. Did the session provide new insight into your physical, emotional or spiritual being? 0 1 2 3 4 5Comment:3. Did you experience a connection between your intention and the session? 0 1 2 3 4 5Comment:4. In general, did you experience benefit from today’s session? 0 1 2 3 4 5Additional Comments:General InformationAge: 18-30 yrs old 31-49 yrs old 50-69 yrs old 70+ yrs oldGender: Female Male Rather Not SayPrevious experience with energy healing: Yes No If YES, please describe:Recommendations:©2026 The Heart Healing Form | Page 3Submit Form
