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Client Survey

Thank you for helping us by filling out this survey! To show our appreciation, we are offering a FREE 30 minute session for your time. We will use your answers to create a "Testimonial" page so that prospective clients can read about first-hand experiences about our services.

Tell Us Your Story

Share your experience with us
How long have you been or were you receiving therapuetic bodywork from Choku-Rei Wellness & Coaching?
How often are you/were you seen?
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On A Scale of 1 to 10, 1 Being No Pain & 10 Being Intolerable Pain, where were you when you started therapy?
On A Scale of 1 to 10, 1 Being No Pain & 10 Being Intolerable Pain, where are you now?
Your Age Group

Thanks for sharing! We always strive to improve.