Rejuventation Station Coaching Program Application

In order to ensure your complete satisfaction, we ask that each client to provide us with the following feedback regarding

your first EFT session with one of our facilitators or Independent Referral Partners.

Thank you for taking the time to help us!

On a scale of 1-5 please answer the following questions regarding your session.

5 = TOTALLY SATISFIED and 1 = DISSATISFIED

Please note that ALL rated responses are required in this feedback form. Comment fields are optional.

The "guarantee objectives" were met:

Facilitator was successful at reducing the SUDS level
Please indicate the beginning SUDS number
Please indicate the ending SUDS number
Facilitator presented new insights/ideas/perspectives
At the conclusion of the session I could FEEL something had healed/shifted/changed.

Comments about the EFT application:

The Facilitator:

Was on time and prepared
Was confident
"Heard" what I was saying
Was supportive of my beliefs and opinions
Applied EFT correctly according to my knowledge
Was responsive to my questions
Was empathetic and compassionate
Facilitator's personal insights enhanced the session

Comments about the facilitator:

The Overall Session:

I gained new insights that I will use in my life
I was pleased with the effectiveness of EFT
This session was worth the price asked in exchange
Scheduling was handled efficiently
The session location was appropriate for my needs
The session was effective over the phone
I would recommend this facilitator to others

What did you like most about this facilitator?

Overall I would rate my experience as:

EXCELLENT GOOD FAIR POOR

Praise/Suggestions/Comments:

Tell us how to get in touch with you:

I have concerns about this session and would like to speak to Jan personally!