ACT1 Feed Back Form

Name :...

E-mail: ..

1. How many ACT1 workshops have you attended?

1 2 3 3+

What date? (last)

2. How has animal communication touched you?

I know it's my Path Very Interested Interested It's Ok Not For Me

3. Are you interested in attending the practitioner course ACT2

Yes No

4. Do you work with animals?

Yes No If you answer is No please go to Question 5

What type of work do you do?

Are you a member of any associations, groups or clubs?

5. Have you joined our Yahoo group?

Yes No

6. ACT1 is continually developing, please help us by suggesting how we can make improvements?

7. Please could you write a brief testimonial of the ACT1 workshop

All information submitted is for ACT use only and will not be shared by any third parties.

Thank you!