Thank You for Your Feedback About My Services and Products Assessment Feedback Form Thank you for participating in an interpersonal experience with me. I hope that your experience exceeded your expectations! Please take a moment to reflect on your journey and complete this form. Your feedback is highly valuable to me and I will use it to add your perspective to the design and function of this site, my services and products. * Please enter a description of the service you received from me: e.g. Counselling, Spiritual Awakening Program, Healing Inner Child Program ... * Did you find our interraction was helpful to you? Select Extremely Helpful Very Helpful Helpful Not helpful * In what ways was this Session or Workshop helpful/not helpful to you? * What were the most valuable things you gained from this Session or Course? * What comments do you have regarding your experience of the Session or Course? * What comments or information would you like to share with or about me? Is there anything else you would like to share? * I give permission for Rick Willey to quote from this feedback in any catalog or on the website. Select Yes No * How did you hear about this service? Select Website Email Campaign Facebook Google+ Twitter Brochure or Flier Word of Mouth Radio Television Other If other - Please specify What other services or products are you interested in? Spiritual Awakening Workshops Healing Inner Child Workshops Inner Wisdom Counselling Counsellor Training Other Tick all that apply. If Other - Please specify Would you like to be contacted about any aspect of your feedback or your experience? Select Yes Please No Thankyou * Your Name First Last * Your Email Address Your Phone Number Country Code | Area Code | Phone number Please Contact Me About the Spiritual Awakening Workshops! Rev. Rick will be in touch with you soon to answer your questions!