JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Generative Feedback Form for Azaad Healing Justice Studio, LLC
Welcoming any feedback related to your experience with Kulkiran Nakai, Psy.D., founder and director of Azaad Healing Justice Studio, LLC.
Sign in to Google
to save your progress.
Learn more
Your name:
Your answer
What event did you attend?
Your answer
How did you hear about the event?
Your answer
Your feedback (please be as specific as possible):
Your answer
Your desired outcome (please be as specific as possible):
Your answer
Additional Comments:
Your answer
Best email for receiving communication from Azaad Healing Justice Studio about updates, news, and more:
Your answer
Feel free to add your testimonial for promotional purposes below:
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Azaad Healing Justice Studio, LLC.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report