Spirit Wings Healing - Testimonial

Create a Testimonial

for Spirit Wings Healing
Your willingness to help me by writing a testimonial is really appreciated and therefore I will be happy to provide you with a 50% discount on your next session in exchange for your efforts. If you choose to record a video testimonial, you will receive a full complimentary session from me in gratitude. If you are willing and have social media savvy, we may be able to create a promotional program together for more possible discounts. My intention in offering this to you is to show you that I appreciate your time and effort in supporting my practice. Thank you so much for your help!
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1) Permission to Use Your Testimonial Statement

Thank you so much for your time. Any testimonial will only be used with your full permission of course! Please see the four options below for leaving your kind thoughts and words for me. Use the one that is easiest for you
A) Create a Video Testimonial: I wish to create a Video Testimonial for Zerach Moshe Fedder at Spirit Wings Healing. Please contact me

Zerach, please contact me about making a video testimonial. Thanks!
B) Have Zerach write a testimonial statement for you: I grant permission to Zerach Moshe Fedder at Spirit Wings healing to write a testimonial statement for me. Zerach will send me the statement for my approval and when I approve of the text, I grant him permission to publish the testimonial on the internet:

I grant permission to Zerach to write a testimonial statement for me. After I review the text and approve of its contents, I permit him to publish the testimonial statement on the internet.I agree also to permit Zerach to publish my full name, photo and email address with the testimonialI agree also to permit Zerach to publish my first name only with the testimonialI agree to permit Zerach to publish the testimonial only (anonymously)
[If you choose either option A) or B) above, you can skip to the bottom of this form and click on "Submit"']
C) Full Written Testimonial: I grant permission to Zerach Moshe Fedder at Spirit Wings Healing to display the following information to create a testimonial for publication on the internet. (Any item not checked will not be displayed).

My written testimonial materials (from the questions below)My First NameMy Full NameMy Email AddressMy Photo
D) Anonymous Written Testimonial: I agree to permit Zerach Moshe Fedder at Spirit Wings Healing to display a testimonial that I have written below for publication on the internet,without displaying my name or contact information.

I agree to permit Zerach Moshe Fedder to use my written testimonial below anonymously
2) Your Testimonial

How has Spirit Wings Healing helped to improve your life ?
- What challenges were you experiencing before receiving Spirit Wings Healing processes or participating in one of our Total Health Breakthrough programs?
- What else have you tried to allivieate these challenges?
- State the main, positive result you acheived from receiving process work or participating in a Spirit Wings Healing program
- What did you like most about receiving processes or participating in our health programs?
- Name three other benefits that you've enjoyed as a result of participating in our services?
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- What was your favorite part of the experience working with Zerach Moshe Fedder?
- Why would you reccomend to others to work with Zerach Moshe? What benefits would they receive?
- Is there anything else you would like to add?
Thank you!
NOTICE OF PRIVACY PRACTICES - All of your Medical Information that you have provided to us on this form (or otherwise) is fully confidential and is handled in accordance with the HIPAA PRIVACY ACT.
The privacy of your medical and personal information is important to us at Spirit Wings Healing. We understand that your information is personal and we are committed to protecting it. This information is stored on an encrypted server and is not accessible to anyone except the Healing Facilitator, Zerach Moshe Fedder.

I will never use any information that you have shared with me with out your expressed written aproval.

Any specific written authorization you provide may be revoked at any time by writing to us.
I affirm that have read the Notice of Privacy Practices and I have been provided an opportunity to review it.*

I affirm
Thank You!

For Returning to Your Health with Spirit Wings Healing
Thank You so much {fullName} !

It has been a total pleasure to work with you and share in you ability to achieve better health and peace of mind. I look forward to being able to continue to be in touch and be of service to you in your healing journey.

Blessings for Light and Peace,

Zerach Moshe Fedder

Spirit Wings Healing
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Create a Testimonial

1) Permission to Use Your Testimonial Statement

2) Your Testimonial

Thank You!