Testimonial Capture Page - welcome to esljeff.ca

Hello! Can I ask for a favor?

I hope you have enjoyed taking lessons with me. It would really help me if you could leave a testimonial that I can show to new students on my web page and social media.

To show my appreciation, every month I will choose ONE of the people who submit a testimonial and send them a gift. It might be you!

Thank you for your support.

Carol.

Your Name*
First name or "nickname" is OK. This is the name I will show to visitors of my website.
Your Email*
This will NOT be shown publicly. It's just in case I need to contact you.
How Would You Rate My Lessons?*
- Five Stars 🙂
- Four Stars
- Three Stars
- Two Stars
- One Star 🙁
What Kind of Lessons?*
- Kids Lessons
- Adult Lessons
Your Occupation
Your Age
City / Country Where You Live
Message About My Lessons*
Please describe how my lessons have helped you.
Your Profile Picture
Please provide a photo that I can show my visitors e.g. your social media profile picture.
Accepted file types: jpg, jpeg, png, Max. file size: 1 MB.
Consent*
Yes, you can use the information I provided to promote your services.
Email
This field is for validation purposes and should be left unchanged.

Hello! Can I ask for a favor?

Jason

Haniele

Nico and Patricia