Discovery Call Date *

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Did your discovery call meet your expectations?

Yes

No

Did you feel a sense of trust and connection with Kiisha as your Mental Health Empowerment Coach and DREAM 1st Expert? *

Yes

No

How would you rate the value of the presentation provided during the discovery call on a scale of 1 to 5. *

(1: No value, 5: Extreme Value)

1

2

3

4

5

Please rate your experience during the guided meditation and visualization exercise. *

(1: Not valuable, 5: Extreme valuable)

1

2

3

4

5

How would you rate your level of fear or discomfort, when facing yourself, or embarking on a journey of self-discovery? *

(1: Very afraid, 5: Having no fear)

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5