HB Live Evaluation Form

Name

First Last

Email

What did you enjoy most about Hormone Balance Program?*

Compared to when you first began the program, what improvements have you seen in your health?*

What can we do to improve Hormone Balance Program to support you even more?*

Do you have any additional comments or thoughts you would like to share with us?*

Are we allowed to use your feedback/testimonial in our marketing material?*

If so, we would love to include a picture of you?

This is not mandatory but would be fantastic. If that is okay with you, please send the image file via email to Nadja at support@integrativewomenshealthinstitute.com or add a link below to an online picture of you (website or online profile) and we can get it from there.

HB Live Program Evaluation Form