Track Feedback

1. 
Please enter the name of the Client for whom you are entering feedback.

2. 
For which track number are you entering feedback?

3. 
How many days did you listen to this track?

4. 
Please list any improvements you've experienced during this period.

5. 
Please list any challenges you've experienced during this period.

6. 
Please describe any allergies, an ear infection, cold, flu or other illnesses you've experienced since beginning the current REI recording.

7. 
Please describe any significant changes in routine since beginning the current REI recording (such as changing schools or a vacation).

8. 
Please describe any additions or changes to medications since beginning the current REI recording.

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Disclaimer: Brain Stim Audio is for entertainment purposes only and is not intended to diagnose, treat, cure or prevent any disease or mental disorder. It is also not a substitute for a qualified doctor’s or mental health professional’s care.