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Annette Kohls ~ Elements Yoga

Holistic Movement & Nervous System Regulation Specialist

Path to Peace™ Weekly Integration & Check-In Form

Path to Peace™ Weekly Integration & Check-In Form

Thank you for taking a few minutes each week to complete this feedback form. Your reflections play an important role in shaping the direction of our sessions and ensuring that you receive the support you need throughout this journey.

This form is your space to share:
• What felt helpful, supportive, or meaningful this week
• What felt unclear, challenging, or less effective
• Where you may need more guidance or explanation
• Any emotional or physical shifts you noticed
• Suggestions that can help strengthen future sessions
• Anything personal you’d like me to know before we meet again

Your honesty and openness help me tailor each session to meet the real needs of the group.

I also want to gently remind you that because this pilot program is being offered at no cost, each participant agreed to actively participate in a few specific ways — and this weekly feedback is one of them. Your reflections help us document the impact of this program, which is essential for obtaining future grant funding and expanding Path to Peace to reach more military families, veterans, and first responders who need this kind of support.

By filling this out thoughtfully, you’re not only contributing to your own growth — you’re directly helping us build something sustainable that can serve others long after this cohort is complete.


Receiving your responses on time allows me to review them and prepare the upcoming session with your needs in mind.

Please submit your form every Sunday by 12:00 PM (noon) PST, 3:00 PM EST (due at the end of the week of each session, example: Session 1 feedback form due the following Sunday before Session 2 )

Thank you for honoring this commitment and for being an important part of this healing community. Your voice truly matters!

Complete Weekly by Sundays at 12:00 PM, PST

1. Did you attend this week’s Path to Peace™ session?
2. How engaged did you feel during the session?
3. Did you practice any Path to Peace™ tools this week?
4. If you practiced, which tools did you use? (Check all that apply)
5. When you practiced, what did you notice? (Optional)
6. Compared to the start of the program, how would you rate your current stress level?
7. This week, how confident did you feel in your ability to regulate emotions during stress?
8. How often were you able to slow down, ground, or tune into your body this week?
9. Compared to previous weeks, your sleep this week felt:
10. Overall physical state this week:
11. How connected did you feel to the group or community this week?
12. What would help you feel more supported next week?
13. What part of this week’s session or practices felt the most helpful or supportive for you?
14. What part felt unclear, challenging, or less supportive?
15. Where did you feel you needed more support this week?
16. What is one thing we could improve, clarify, or add to next week’s session?
17. Were there any emotions, experiences, or insights that surfaced this week that you would like us to address in future sessions?
18. If yes, please share (optional):
19. Is there anything you’d like me to know before we meet again?
20. If yes, please share (optional):
21. What was your personal win this week? (Big or small)
22. Anything else you’d like to share?