feedback request form

I would like to invite your feedback about anything I have done. 

If your feedback involves harm I am causing or have caused, I will take it in and check with the friends I have who I trust and appreciate for helping support my learning, healing, and growth. I’ll do my best to respond with care to you and make offers of repair as appropriate. I am open to being contacted by members of your support networks as well. 

I would also like to know about your experience working with me, in any capacity. You may use this form for anything you'd like me to know, and / or to indicate things you'd like my clients, potential clients, and friends to know about your perception of me. 

this form contains 12 questions, all visible on this page. every question is optional, so please answer as many or as few of them as you'd like.

if you have comments or questions, you may use the last question on this form and/or contact Wesley (admin@angeliquegeehan.com). 

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Name

Pronouns

if you leave this blank, we will default to using 'they/them' when referring to you.

Email

Phone number
Business
what is the name of your business, or the business you represented when working with omi?

may we share your feedback for publicity purposes?

if you'll allow us to share your feedback, would you like us to quote / credit you when we do? 

Clear selection

how should we refer to you when we quote / credit you?

we will use your first name, last initial, pronouns, and company if you leave this question blank but consent to us sharing your feedback.

in what capacity did you work (or are you working) with angelique / omi geehan?

what would you offer other potential clients and collaborators about your experience working with angelique / omi geehan?

is there any feedback you’d like to provide only to angelique / omi geehan (and their administrative assistant, Wes, who will be reading these responses) that you would not like shared out?

is there anything else you'd like to add?
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