Mace Energy Method Impact Survey (2024-Present)

Thank you so much for taking a moment to complete this survey.

Your responses help us gather meaningful, measurable insights that demonstrate the lasting impact of the Mace Energy Method.

Your email will never be shared. It is collected only in the rare case your feedback indicates the method did not meet your expectations, so we can reach out with care and offer support to resolve any concerns.

1 – Please select what you were hoping to find relief from when choosing the Mace Energy Method?
(Select all that apply)

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Checkboxes

• Stress or overwhelm
• Anxiety and/or depression
• Sadness or grief
• Trauma or past experiences
• Low confidence or self-doubt
• Anger or frustration
• Feeling stuck or blocked
• Marriage or relationship issues
• PTSD
• Suicidal ideations
• Extreme personal violation (via Voices, ETC.)
• Moral injury (feeling of guilt/shame/regret)
• Other (not listed)

2 – How did you feel before your Mace session. With 1 being very bad and 10 being very much better.

Selected Value: 0

3 – How did you feel after your Mace session. With 1 being very bad and 10 being very much better.

Selected Value: 0

4 – Regarding goal achievement; Did you ADDRESS what you wanted to achieve in this session?

• Yes, fully
• Partially
• Not yet – Still concerned
• Not yet – Feeling hopeful

5 – Regarding goal achievement; Did you ACHIEVE what you wanted to achieve in this session?

• Yes, fully
• Partially
• Not yet – Still concerned
• Not yet – Feeling hopeful

Optional– Please share a moment, insight, or change that felt most impactful for you during or after the session. How has it influenced your sense of self, relationships, or daily life?

**Optional** Other thoughts or comments

**If you have any concerns, would you like to be contacted?

• Yes
• No

**Name

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