YOUR FULL NAME (EXACT SPELLING) AS YOU WOULD LIKE STATED ON YOUR SILVA CERTIFICATE

YOU SILVA CLASS TRAINER NAME

YOUR EMAIL ID

YOUR CITY OF LOCATION

YOUR SILVA CLASS LANGUAGE MEDIUM

ENGLISH ONLY (ENGLISH INSTRUCTION - ENGLISH EXERCISE)
HINDI ONLY (HINDI INSTRUCTION - HINDI EXERCISE)
MIX (HINDI INSTRUCTION - ENGLISH EXERCISE)
MIX (ENGLISH INSTRUCTION - HINDI EXERCISE)

HOW WOULD YOU RATE YOUR SILVA LEVEL 2 CLASS EXPERIENCE?

EXCELLENT
VERY GOOD
GOOD
FAIR
POOR

HOW WAS YOUR EXPERIENCE OF HAND LEVITATION?

HAND FELT AS THOUGH A BALLOON WAS LIFTING IT
HAND FELT LIGHT
HAND FELT AS THOUGH IT WAS MOVING ON ITS OWN
HAND FELT NUMB
HAND FELT TINGLING
HAND FELT SENSITIVE
HAND FELT HEAVY
HAND FELT NORMAL - NO DIFFERENCE AT ALL

HOW WAS YOUR EXPERIENCE OF HAND LEVITATION IN YOUR OWN WORDS

HOW WAS YOUR EXPERIENCE OF THE TEMPERATURE DIFFERENCE BETWEEN YOUR HANDS DURING GLOVE ANAESTHESIA TECHNIQUE?

COULD CLEARLY FEEL BIG DIFFERENCE IN TEMPERATUREWHEN BOTH HANDS CAME IN CONTACT TOGETHER
COULD FEEL SOME DIFFERENCE IN TEMPERATURE WHEN BOTH HANDS CAME IN CONTACT TOGETHER
COULD FEEL SLIGHT DIFFERENCE IN TEMPERATURE WHEN BOTH HANDS CAME IN CONTACT TOGETHER
COULD NOT FEEL ANY DIFFERENCE IN TEMPERATURE WHEN BOTH HANDS CAME IN CONTACT TOGETHER

HOW WAS YOUR EXPERIENCE OF GLOVE ANAESTHESIA IN YOUR OWN WORDS

WHICH OF THE FOLLOWING TECHNIQUES HAVE YOU APPLIED SO FAR AFTER THE CLASS?

PAIN/ACHE CONTROL
HAND LEVITATION
HAND ON HEALING
GLASS OF WATER FOR HEALTH

PLEASE DESCRIBE SUCCESSFUL RESULTS WITH ANY OF THE TECHNIQUES YOU HAVE APPLIED SO FAR

WHAT WAS THE ACCURACY OF YOUR HEALTH CASEWORKING?

90-100% CORRECT
60-80% CORRECT
40-50% CORRECT
LESS THAN 30% CORRECT

HOW WAS YOUR HEALTH CASEWORKING ?

ANYTHING ELSE YOU WOULD LIKE TO ADD

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