Feedback Form

Your feedback is incredibly appreciated. Sharing your personal experience will help Pure Life Therapy grow and become a leader in Health and Wellness. This feedback will help refine the course, highlight success stories, and identify areas for improvement before launch!

Name

First Name

Last Name

Phone

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How would you rate the overall experience of the course?

On a scale of 1-10 with 1 being "meh" and 10 being "wow!"

Did you feel more confident about communicating with your doctor after completing the course?

Yes

Would you recommend this course to others? Why or why not?

What was the most valuable lesson or takeaway for you?

Was there any part of the course that felt unclear, confusing, or difficult to apply?

Did the course help you feel more prepared for your doctor’s appointment? If yes, how?

Was there anything missing that you would have liked to see included?

Did you have a doctor’s appointment after completing the course? If yes, did you use any of the course strategies? What was the outcome?

Did your doctor respond differently to you after applying what you learned? If yes, how?

What was your biggest challenge when trying to apply the course material?

How easy was the course to navigate and complete?

Was the course too long, too short, or just right?

Do you find the downloadable PDF's helpful? Do you have any suggestions on how to improve them?

Was there any technical difficulty accessing the course or materials? If yes, please describe.

Please write a short testimonial about your experience with the course.

Would you find value in working one-on-one with a medical advocacy mentor to receive personalized guidance and support for navigating your healthcare journey? Why or why not?

Any additional comments or suggestions?

Feedback Form

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