Client Feedback Form

NOTE: None of the information provided on this feedback form will be shared without your express consent.

Name:

Email:

Course date:

How are you doing?
What were your symptoms before the course? How have you benefited from the course? Have you experienced a reduction in these symptoms? Have you been able to reduce or eliminate the need for medication/appliances? Are you sleeping better? Are you feeling better overall? (Be as brief or as wordy as you like.)

How did we do?
What did you like about the course; how it was taught and the material presented? Would you recommend Buteyko to others? Do you have any suggestions for how we can improve our services?

Are you willing for us to use your recommendation to help raise awareness about the Buteyko Breathing Clinic programme?

Yes

We encourage you to inform your GP or other health provider about your progress. Tell your friends, like our page and post a review for us on Facebook, write us a Google review, and do anything else you can to help us get this life-changing programme into general practice and a part of health education in New Zealand.

Thank you!

Helping people with breathing disorders since 2001

20 Arthur Street, Freemans Bay, Auckland 1011, New Zealand | Phone +64 9 360 6291 | Email info@buteykobreathing.nz

Download our leaflets [PDFs]: Do you suffer from asthma or allergies? » Do you snore or suffer from sleep apnoea? »

Registered Practitioner / Practitioner Trainer