Feedback Form
This is where your feedback becomes part of something bigger. This short survey helps us measure how breathwork and meditation impact your clarity, focus, and nervous system in real-time, in between real-life.
Click below to begin.
Let’s begin with a few simple details to help us understand who’s joining The Meeting™ and when.
Question 2 of 20
What is your name?
Question 3 of 20
Email (so we can send you your reflection + updates):
Question 4 of 20
City + Time Zone:
Question 5 of 20
What time did you join this session?
Morning (before 10AM)
Midday (10AM–1PM)
Afternoon (1PM–5PM)
Evening (after 5PM)
Question 6 of 20
Where did you join from?
Before we dropped in: help us understand how you were feeling and why you came.
There are no right answers, just your truth.
Question 8 of 20
How mentally clear did you feel before the session?→ Scale (1–10)1 = Foggy / Distracted → 10 = Clear & Focused
Question 9 of 20
How regulated did your nervous system feel before the session? → Scale (1–10) 1 = Anxious / Stressed → 10 = Calm / Present
Question 10 of 20
What called you to join us today?
Now that you’ve paused, take a moment to notice: what’s different?
Even a 1% shift is something we celebrate.
Question 12 of 20
How regulated does your nervous system feel now? → Scale (1–10)
Question 13 of 20
What shifted for you during this session — physically, emotionally, or mentally? → Paragraph Text
Question 14 of 20
What felt most impactful about the experience?
Question 15 of 20
Anything unclear or unnecessary about the format?
Looking ahead: what would make this sustainable, supportive, and shareable?
We’re listening and we’re building it with you.
Question 17 of 20
Would you attend another session?
Yes
No
Question 18 of 20
How likely are you to recommend this to a friend or colleague? → Scale (1–10)
Question 19 of 20
Could you see this being offered at your workplace?
Not Sure
Question 20 of 20
Any final reflections, thoughts, or stories you’d like to share?