Client Session Feedback Form

During this process you will receive 10 sessions from your Mentor and you will document the below as well as give feedback on their each session’s performance. Please document the following:

Your Name

Your EmailThis help us link your answers to your student account. Please use the same email that you use for your course.

Session Number? Session 01 Session 02 Session 03 Session 04 Session 05 Session 06 Session 07 Session 08 Session 09 Session 10 Other

Your Mentor's Name

Gender of Breathworker:

In person or online: In Person Online

a. How did you feel? (up to 100 words)

b. What was your breathing like? (up to 100 words) b. What was your breathing like? (up to 100 words)

c. Any body sensations? (up to 100 words) c. Any body sensations? (up to 100 words)

d. Any issues arise? (up to 100 words) d. Any issues arise? (up to 100 words)

e. Was it resolved? (up to 100 words) e. Was it resolved? (up to 100 words)

f. Did you receive insight? (up to 100 words) f. Did you receive insight? (up to 100 words)

g. How was integration? (up to 100 words) g. How was integration? (up to 100 words)

h. Feedback for your Mentor (up to 100 words) h. Feedback for your Mentor (up to 100 words)