Feedback and Testimonial Form

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Please answer a few questions pertaining to your experiences with your coaching program that provide me with feedback, so I can continue to improve this experience. Make sure to be as specific as possible. If you agree, I may use your answers for future testimonials and/or advertising. (Your email will remain confidential)

Option 1

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Please type your first and last name:

Please type your email:

How long have you been enrolled in your coaching program?

1-3 weeks

1 month

2 months

3+ months

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What needs did you have that caused you to reach out and begin your individualized coaching program? (Please include at least three)

How do you feel now that you have started the coaching process?

What changes have you noticed physically?

What changes have you noticed emotionally?

How has committing to the coaching process affected your mind and hope for the future?

What have you found most helpful about your coaching program so far? (Please be specific)

Compare your past self to yourself now, after participating in a coaching program. What changes have you noticed? How have these changes affected you?

How likely are you to recommend coaching sessions to a friend?

If you answered unlikely or very unlikely above, do you have any recommendations to improve the coaching experience?

Are you okay with me using this information for testimonial and advertising purposes?

Yes

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Are you okay with including your first name and last initial with any testimonial or advertising?

Yes

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Please rate your experience with your coaching experience thus far....

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