Client Feedback Form
Thank you for taking the time to share your experience. Your feedback is invaluable in helping me understand what works well, where improvements could be made and how I can continue to provide a meaningful, personalised service. Everyone's experience is unique, and you may or may not notice changes following your sessions. There are no right or wrong answers, and I welcome your honest feedback.
First Name
Name of Service Booked
Mini Clearing
Time to Hit the Reset Button Email Series
Recharge your Sleep Email Series
Heart Wall Removal & Belief Code Email Session
Heart Wall Removal Email Session
1 Hour Specific Topic Identification Email Session
Positive Connections Email Session
Your Pet Reset Email Session
Overall Experience
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1
2
3
4
5
⭐️Unsatisfactory ⭐️⭐️Needs Improvement ⭐️⭐️⭐️Neutral ⭐️⭐️⭐️⭐️Good ⭐️⭐️⭐️⭐️⭐️Excellent
Would you be willing to share your experience? I would love to hear what you found most valuable about your sessions and whether there is anything you would like others to know about your experience with energy healing.
Are you happy for me to share your feedback on my website or social media?
Yes, using my first name.
Yes, using a pseudonym
Yes, anonymously
No, please keep my feedback private.
How Did You Find Your Personalised Report? Please select the statement that best reflects your experience.
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Rows
Thoughts
It helped me understand my healing process.
I would have loved more details. Please state where.
I found parts
unclear. Please state which.
I didn't find the report useful. Please state why.
I didn’t receive a report.
Did You Find My Website Helpful and Easy to Navigate? Please select the statement that best reflects your experience.
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Rows
Thoughts
Everything was clear and accessible.
I would suggest improvements in certain areas.
I struggled to find what I needed.
No, I didn’t find the
website useful.
I didn't use the website.
How Would You Describe the Value for Money of Your Service? Please select the statement that best reflects your experience.
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Rows
Thoughts
Excellent
value for money compared to other service providers.
Reasonable
pricing, aligned with similar service providers
Slightly
expensive, but worth it for the benefits.
Too expensive compared to similar service providers.
If You Received a Follow-up Call, How Did You Find It? Please select the statement that best reflects your experience.
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Rows
Thoughts
The call was clear and informative.
I found certain aspects particularly helpful.
I would have liked more clarity on certain aspects.
I didn't have a call as part of my service.
Would you recommend my Services?
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Yes! I would recommend this service.
Yes, but... I have some suggestions for improvement provided above.
Maybe, I am still reflecting on the impact
No, It didn’t align with what I expected.
Have you noticed any changes in any of these areas following your sessions? If so, please share your experience.
Please only complete the areas relevant to you. All questions are optional.
🌸Emotional Wellness
Reduced stress or anxiety
Increased emotional balance and resilience
Improved ability to process and express emotions
Feeling more peaceful and grounded
Greater self-compassion and emotional awareness
🏃 Physical Wellness
Released tension and felt physically relaxed
Improved sleep quality and energy levels
Experienced relief from aches or discomfort
Felt lighter and more energised
Strengthened mind-body awareness
🫂 Social Wellness
Felt more connected in relationships
Improved communication with others
Released emotional blocks affecting interactions
Increased openness to support and connection
Developed a greater sense of belonging
📖 Intellectual Wellness
Gained deeper insights into personal patterns
Improved clarity and decision-making
Felt more open to learning and personal growth
Strengthened ability to explore new perspectives
Inspired new ideas or creative thinking
💫 Spiritual Wellness
Felt deeply connected to self or something greater
Strengthened intuition and inner wisdom
Released emotional blockages affecting spiritual growth
Found renewed purpose or direction
Developed a deeper sense of trust in life’s journey
🏡 Environmental Wellness
Felt grounded and in harmony with surroundings
Heightened awareness of nature and its impact
Improved ability to create peaceful spaces
Strengthened sense of balance in external environment
Greater appreciation for beauty and energy around you
💼 Occupational Wellness
Increased motivation in work or personal goals
Released stress impacting job performance
Strengthened clarity and direction in your work or roles
Improved confidence in decision-making
Felt more aligned with personal or professional purpose
💷 Financial Wellness
Experienced a mindset shift around financial stress
Released anxiety related to money
Felt more confident in financial decision-making
Improved abundance mindset
Strengthened clarity around financial goals
🌳 Recreational Wellness
Reconnected with joy, fun, or play
Felt more motivated to engage in hobbies or leisure
Released guilt around rest or enjoyment
Experienced more spontaneity or lightness
Strengthened your ability to prioritise pleasure
🎨 Creative Wellness
Felt more inspired or creatively energised
Experienced renewed motivation to express yourself
Released blocks around creativity or self‑expression
Gained confidence in your creative ideas
Reconnected with playfulness or imagination
💻 Digital Wellness
Felt more balanced in your relationship with technology
Reduced digital overwhelm or mental clutter
Improved ability to set healthy digital boundaries
Experienced more mindful and intentional tech use
Felt clearer and more focused offline
💤 Restorative Wellness
Felt deeply rested or rejuvenated
Experienced a calmer nervous system
Released accumulated tension or emotional fatigue
Improved ability to slow down and restore
Felt more nourished, centred, and replenished
Would you be interested in a subscription plan that provides monthly preset energy healing sessions based on the 12 dimensions of wellness above?
Yes! I would love consistent energy support in this format
Yes! I have other suggestions on topics that could be included
No, I prefer to book sessions individually
No, It didn’t align with what I expected.
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