Anonymous Feedback Form
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How stressed were you before this experience, with 0 being relaxed and 5 being highest distress/fear/anxiety*:
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0
1
2
3
4
5
How do you feel now, on a scale of 0-5:
*
0
1
2
3
4
5
How likely are you to recommend this experience to a friend or colleague, with 5 being most likely:
*
0
1
2
3
4
5
If you have participated in a group coaching experience, how did you like it, with 5 being you liked it a lot:
*
0
1
2
3
4
5
NA
If you have participated in an individual counseling experience, how did you like it, with 5 being you liked it a lot:
*
0
1
2
3
4
5
NA
If you had the opportunity to try out the VR experience, how did you like it, with 5 being you liked it a lot:
*
0
1
2
3
4
5
NA
Your participated in
Your feedback means a lot to us, share with us what you liked about our program, and how you see it making an impact on your life.
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I agree to the
Terms of Service
. This form is for anonymous feedback only, no individual-level or identifiable health data will be shared, only aggregated metrics.
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