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Welcome
Allergy Approach
Founder
BOOK
Events
Free Public Lectures
Contact
Privacy Policy
FEEDBACK
Sign Up
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YOUR CART
Welcome to Way Clinic Practitioner Feed Back and Evaluation Form.
Way Clinic Collective is an independant practitioner owned and run, organization to support a return to ancient and cultural medicines. Our goal is to support practitioners to deliver medicines into remote First Nations communities.
If you have negative Feedback about one of our members, or ANY healers working in your community, we respond in a heart centered approach.
*Q:Can I remain anonymous?
A:Yes!! (it is helpful if Laura can interview you, so please leave your info if you are okay with that!)
*Q: What will happen to the practitioner?
*A: We will ask our panel of First Nations Elders & Mentors to review any negative feedback with the practitioner. The feedback does not go directly to the practitioner. We see your information as the MOST important growth tool, and will use it to help the whole collective and all our our communities!
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Indicates required field
Can our Office Manager or Director contact you to follow-up on any concerns you have expressed on this form?
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No
Yes
Is it okay to use your comments as a testimonial in promotions to other communities?Select One
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Yes
No
If Yes, how would you like us to contact you?
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What is your age?
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Less than 13
13-18
19-25
26-35
36-50
Over 50
Prefer not to say
What is your household income?
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Less than $10,000
$10,001 - $25,000
$25,001 - $40,000
$40,001 - $70,000
$70,001 - $100,000
Greater than $100,000
Prefer not to say
Submit