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Have you had previous experience with mindfulness and/or meditation?
Yes
No
Have you ever accessed the M+M series services before?
What motivated you to access the M+M services?
How did you hear about us?
How would you describe your mental/emotional/social state/feelings
before
you accessed our services? (check mark all that apply)
Anxious
Confused
Depressed
Excited
Happy
Isolated
Joyful
Nervous
Purposeful
Sad
Unfulfilled
Other (please specify)
How would you describe your mental/emotional/social state/feelings
after
you accessed our services? (check mark all that apply)
Anxious
Confused
Depressed
Excited
Happy
Isolated
Joyful
Nervous
Purposeful
Sad
Unfulfilled
Other (please specify)
What did you enjoy most about the experience?
Was there anything about the experience you did not enjoy? (Please specify)
Are you likely to return for another session with us?
Yes
No
Would you recommend M+M series services to someone?
Yes
No
Is there anything else you would like to add?
Lastly, may I have permission to use your responses in promotional materials? If so, what name, age, and career title would you like me to use for you? If you do not feel comfortable putting your name, feel free to use initials, first name only, last name only, or 'Anonymous'. If you wish, you may upload a photo as your profile pic.
Yes
No
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