Inner Beauty Client Survey

Inner Beauty Client Survey
Name

First NameLast Name
Email
example@example.com
The overall program
Assigned Life-coach
The mission statement
Difference you see in yourself since attending Inner Beauty
Thursday meetings
Clarity of expectations about how you should behave while in the program
Activities the program offers
Communication between you and your mentor
College tours
Parent Support
The Inner Beauty Pageant
Accessibility to your mentor
Possibility of referring a friend
Your willingness to participate
Intentions to continue the program
16). What do you like about Inner Beauty
17). What improvements would you like to see?
18). Additional Comments
I CERTIFY THAT I HAVE READ THIS DOCUMENT, AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS ISA RELEASE OF LIABILITY AND A CONTRACT AND ISIGN OF MY OWN FREE WILL.
(Child's Name)
(Parent/Guardian's Signature)
(Parent/Guardian's Printed Name)
(Date)

MonthDayYear
Date
Should be Empty: