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Session Feedback & Testimonial Consent Form

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Name
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What is the purpose of this feedback?
Note: As a “Thank You,” you will earn $5 off any future service for providing a testimonial that I may share with others. In addition, I reserve the right to edit your testimonial for spelling, punctuation, clarity, or length.
You may choose the date it was booked, OR the date you received your session notes. ***IF you can’t remember, choose today’s date.
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