Phobia Cure Feedback - thinkafresh
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Please leave me your feedback from your phobia cure experience
Name
*
First
Last
Email
*
How severe would you rate your phobia before today?
*
Rate yourself here
1 = no feeling at all
2
3
4
5
6
7
8
9
10 = the worst feeling ever
How would you rate your old phobia now?
*
Rate yourself here...
1 = no feeling at all
2
3
4
5
6
7
8
9
10 = the worst feeling ever
What was the most helpful thing about this process for you?
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What’s something that could have made this experience better for you?
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How has your phobia changed as a result of going through this process?
*
What would you say to a friend who is struggling with a phobia?
*
Thank you for your feedback. Is it ok for me to use this in future publicity?
*
Yes
No
Submit