It is preferred that you use your own words, yet requests have been made to have a simple form to fill out.

1. What is your name?


2. What service or services have you received from Kristin or Progressive Holistic Living?
Massage Therapy
Yoga Class or Private Therapy Session
Ear Coning
Nutritional Recommendations
Other - Please describe


3. What benefit did you experience from your service?



4. Would you recommend her services to others?
Yes     No


5. What lifestyle changes have you made based on her recommendations?



6. How long have you received therapy from Kristin?



7. Do you have any additional suggestions or comments?