Grounding Experience Feedback
Please share your feedback to help us improve future grounding sessions.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Date of Grounding Experience
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Type of Grounding Experience
*
Please Select
Guided Meditation
Nature Walk
Breathing Exercise
Sensory Awareness
Other
Please rate the following aspects of the grounding experience:
*
Rows
Very Poor
Poor
Neutral
Good
Excellent
Facilitator's guidance
1
2
3
4
5
Comfort of the environment
6
7
8
9
10
Clarity of instructions
11
12
13
14
15
Relevance of techniques used
16
17
18
19
20
Overall effectiveness
21
22
23
24
25
How would you rate your overall experience?
*
1
2
3
4
5
Did you feel more grounded after the session?
*
Yes
Somewhat
No
Which grounding techniques did you find most helpful? (Select all that apply)
Breathing exercises
Visualization
Physical movement
Connecting with nature
Other
What did you like most about the grounding experience?
Do you have any suggestions for improvement or additional comments?
Submit Feedback
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