Give your feedback • TinyEYE

Permission to share your feedback through communication channels
You have experience in receiving online therapy from one of our therapists. Thank you for taking the time to share your experience with us. We will act in a responsible way with the information you provide.
I hereby give my consent to share my feedback through TinyEYE's communication channels*
Please indicate whether we can use your feedback (with or without your name) through our communication channels?*
2
What are your details?
Name*
First Last
E-mail address*
Client feedback
CAPTCHA

We appreciate your feedback.