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Session Acknowledgement Form
This is basic form of understanding and confidentiality between participant & counselor post interaction. Your response will be recorded for professional recorded and will be confidential.
* Indicates required question
Email
*
Your email
You Name
*
Your answer
Contact Details
*
Your answer
Age
*
Your answer
Gender
*
Your answer
Occupation Details (Position & Organization)
Your answer
How did you know about Life Coach Ms.Rashmi Saha
*
Social Media
Common Connect
Have attended her Session
Other:
Have you ever attended her session , if Yes , Where ?
*
Your answer
You contacted her about an issue related to ..
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Profession
Relationship
Self Improvement
Emotional Issues
Other:
Required
Your learning from the session .
Your answer
Which all qualities of her, did you connect with ?
*
Compassion
Professionalism
Knowledge
Positive Vibes
Good Listener
Human Connect
Other:
Required
Write a few words of your Experience with her session.
*
Your answer
Would you recommend Ms. Rashmi Saha as a Coach/Counselor ?
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Yes
No
Other:
How many Happy Stars would you give the experience with her
*
1
2
3
4
5
6
7
8
9
10
Send me a copy of my responses.
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