Client Feedback Form
Your feedback is invaluable in helping me enhance my offerings and to create a meaningful experience. As a thank you for completing this form, I’m offering a £5 discount for you to gift to a new client, which they can use toward their first full-price service.
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 Email Session
Positive Connections Email Session
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 a testimonial about your experience?
Please provide a statement that can feature on my website and social media. This can be marked as being provided by anonymous or pseudonym if you would prefer.
How did you find the Report? What improvements would be beneficial? Please add one answer
*
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? What improvements would be beneficial? Please add one answer
*
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 do you feel about the pricing of my services? Please add one answer
*
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.... Please add one answer
*
Rows
Thoughts
Did you feel the session was clear and informative
?
What aspects were most helpful?
Is there anything you would have liked more clarity on?
I didn’t have a call as part of my service.
What specific benefits did you experience? 🌸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
What specific benefits did you experience? 🏃 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
What specific benefits did you experience? 🫂 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
What specific benefits did you experience? 📖 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
What specific benefits did you experience? 💫 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
What specific benefits did you experience? 🏡 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
What specific benefits did you experience? 💼 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
What specific benefits did you experience? 💷 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
What specific benefits did you experience? 🌳 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
What specific benefits did you experience? 🎨 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
What specific benefits did you experience? 💻 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
What specific benefits did you experience? 💤 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 recommend my Services?
*
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.
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.
Thank you for supporting my work, I would appreciate you sharing your experience and help others discover the benefits of energy healing. If you know of someone who would benefit from an energy healing session, recommend them below, and they will receive £5 off their first full price service when they book.
If using PayPal please contact me using the contact form prior to booking so I can apply the discount
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