Our Weeping Angel Foundation - Beneficiary Feedback Form

	HOW IT WORKS
	FOR CLIENTS

	FOR PRACTITIONERS

	FOR STUDENTS

	CLIENT/PRACTITIONER ASSISTANCE REQUEST FORM

	STUDENT/INSTRUCTOR SCHOLARSHIP APPLICATION FORM

	BENEFICIARY FEEDBACK FORM

We appreciate feedback from the clients and students who benefit from our grants. It helps us to document our work and add evidence to the value of alternative and complementary healing.

Client or Student Contact Information: (Clients may use initials or remain anonymous)

Name

Address

City

State

Zip Code

Primary Phone

E-Mail Address

Practitioner or Instructor/School Information:

Name of Organization

Name of Practitioner or Instructor

Address

City

State

Zip Code

What was your experience
with this practitioner
or instructor?

What comments would
you like to share with us
about your experience?

May we use your comments on our website or other promotional materials?	Yes	No

May we contact you about our future events or alternative healing news?	Yes	No

Note: We will never sell or share your contact information or email address.