Rolfing Communication Form (printable)

This form can be emailed to myrolfer@cox.net by first scanning it.

Name_______________________________________

 

Date of this comment__________________________

 

I have a sense or understanding of the goals of the last session (hazy 1..2..3..4..5 clear)

 

I think that my last session was relevant to my goals (not at all 1..2..3..4..5 very relevant)

 

After my last session, I felt ________________________________________________________________________

 

 

______________________________________________________________________________________________

 

The day following my last session, the degree of soreness from the pressure was (none 1..2..3..4..5 very tender)

 

Any extended comments here:

 

 

 

 

 

 

 

Information I forgot to give you before, that may be relevant to our process:

 

www.myrolfer.com