Post-Session Questionnaire Name * First Name Last Name Email * Date Session Was Received * MM DD YYYY Energy Session Received * Dr. Jay Energy Session Happiness Energy Relationship Enhancement Energy Deep Transcendence Energy Removing Negativity Energy Celestial Energy Personal Fulfillment Energy Surrender Energy Experiences During Session * Benefits Experienced the First 1 - 2 Days * Benefits Experienced the First 1 - 2 Weeks * Other Comments Thank you!