Consultation Feedback Form
Today’s Date:
First Name:
Middle Name:
Last Name:
Mailing Address (complete address please) with area code:
Phone:
Mobile:
Email id:
Have you used consultations provided by Spiritual Arts for more than once? Yes/No
How many times? And which consultations?
When did you consult Spiritual Arts last time?
What was purpose of the consultation?
Which consultation did you opt for? Grapho-Astro-Numero-Tarot /Vastu /Karma Consultation /Spiritual Counseling /Graphology for recruitment /Horoscope /Aura Reading
What was your experience during the consultation?
In which areas did you get guidance for in the consultation?
Physcial Health
Psychological Health
Spiritual Progress
Relationships
Finances
Family matters
Education
Investments
General Harmony
Decision Making
Career
Profession
Karmic Matters
Others
If the answer is others, please describe
Did you find the consultation useful? How useful?
Very beneficial
Beneficial
Hardly beneficial
Not beneficial
Others
If the answer is others, please describe
Did you have any pre-assumptions about consultations which made your experience different than your expectations?
Were you happy with your pre-assumptions being broken? Yes /No
Would you recommend Spiritual Arts to others? Absolutely Yes / Yes / No / Never
Place Signature Date
All of the above information will be treated strictly confidential and not passed on to any third party. It is meant for research purpose and for helping you better the next time.
Thank you!
__________________________________________________________________________________________________
Healing Feedback Form
Today’s Date:
First Name:
Middle Name:
Last Name:
Mailing address (complete address please) with area code:
Phone:
Mobile:
Email id:
When did you request your last healing at Spiritual Arts?
When was your request processed by our healers?
What was the healing requested for?
Did you opt for multiple healings? Yes /No
Which of the following healing plans you chose and how many times?
1 healing times
5 healings times
10 healings times
15 healings times
What did you feel during the healing/s?
Did you feel any latter effects which you would attribute to the healing/s? Yes /No
If the answer is yes, on which level did you feel the healing/s?
(You can check more than one level)
Physical
Emotional
Mental
Spiritual
Other
If the answer is other, please describe:
How soon after the healing request was processed you started to feel marked difference?
For how long did the effects last?
Please rate how beneficial the healing/s was/were to you:
Very beneficial
Beneficial
Hardly beneficial
Not beneficial
Others
If the answer is others, please describe
After your healing/s was/were processed, did you notice any change in your life, or did any special event happen that you feel important mentioning? Yes /No
If the answer is yes, please give details:
Did you follow the healing suggestions specifically given to you? Yes /No / Partially
If the answer is yes or partial, please share your feedback & experiences with these healing suggestions
If the answer is no or partial, please share why you choose not to work with these healing suggestions
Did you do the healing exercises as outlined for you? Yes/ No / Partial
If the answer is yes or partial, please share your feedback & experiences with the healing exercises
If the answer is no or partial, please share why you choose not to use the healing exercises
Would you like to make any other comments?
Place Signature Date
All of the above information will be treated strictly confidential and not passed on to any third party. It is meant for research purpose and for helping you better the next time.
Thank you!
_________________________________________________
Testimonial form
Today’s Date:
First Name:
Middle Name:
Last Name:
Mailing Address (complete address please) with area code:
State:
Phone:
Mobile:
Email id:
Please indicate what services you received from Daisy: (you may choose more than one)
Spiritual Arts Course 1
Spiritual Arts Course 2
Spiritual Arts Course 3
Specially Designed course for a group of 10 people or more (Give details)
Grapho-Astro-Numero-Tarot Consultation
Vastu Consultation
Karma Consultation
Spiritual Counseling
Graphology for recruitment
Horoscope
Aura Reading
Have you used Daisy’s services more than one times? Yes /No
If yes, how many times and for which courses and consultations?
When did you opt for her services last?
Does Daisy has permission to put your testimonial on website? Yes /No
Does Daisy has permission to put your photo along with your testimonial on website? Yes /No
If possible please send a recent photograph of yourself attached as a .gif or .jpg file by separate e-mail (spiritual.arts@yahoo.com) addressed ‘To Dr Daisy V Sha(h): (your name)’s photo to be attached with testimonial’
What information you want Daisy to use about you, if your testimonial is posted on this website? (Choose the ones you want)
First name First name initial
Middle name Middle name initial
Last name Last name initial
City State
Email id Phone no
Mobile no
Please submit your testimonial & comments about Daisy & her work that you wish to share here. You may write in any length (write in a separate page if required). Please proof read your testimonial prior to submission:
How did you hear about Spiritual Arts and Daisy? (select only one)
I am a past client
Client’s recommendation
Other practitioner referral
Google search
Yahoo search
Internet search
Newspaper articles
Magazine articles
Other (specify)
Place Signature Date
Questions to Reflect On while giving testimonial:
How has Daisy helped me?
Thank you
_________________________________________________
Read Code of Conduct before joining Spiritual Arts for Courses and /or Consultations. Legal disputes concerning Spiritual Arts Pvt Ltd & its directors & employees will be settled in the Mumbai judiciary only. Email: spiritual.arts@yahoo.com Contact: +91-9819193149 / +91-22-25634301.
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