Please complete the form below. Please give permission to Littleway Healing Ministries to use your feedback in whole or in part for the glory of God, through all means of communication, and retain a copy by ticking this box: First name: Last name: Contact telephone number: Your email address: Please select your preference of how you would like your name to appear with the feedback: Feedback name: Date feedback submitted: What was the problem you had before joining the Zoom Breakout Room for prayer? What happened during the prayer? How are you feeling now? Please describe the healing you received (emotional, physical, spiritual, psychological) Thank you for adding your feedback and agreeing to share it! If you have any further questions, or need assistance completing this form, please contact our administrator (administrator@littlewayhealingministries.com)