Insights & Feedback
Complete the Same Day after Each Session. Reflecting on your insights gained in the session helps you and helps your Coach help you better.
Before this session I was experiencing / feeling:
*
(Example: hopeless, anxious, stuck, happy, sad, angry, confused, tired, in pain, stressed, etc.)
After this session I was experiencing / feeling:
*
My Beginning Number
(Complete if you recall)
My Ending Number
(Complete if you recall)
The issues I/we identified were:
*
The insights I gained were:
*
If a lie and a truth were revealed, what were they?
What worked for me was:
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What didn't worked for me was:
Was there a physical issue(s) or sensation(s) that improved or resolved in this session or since previous sessions? Please describe.
Overall Satisfaction of service (by phone? may need to tilt to sideways/landscape - should see 5 columns)
*
Rows
Very Satisfied
Satisfied
Neutral
UNsatisfied
Very UNsatisfied
Friendliness
Compatibility
Knowledge
Met my needs
Explained things well to me
I feel like this helped me
I feel heard
Would I be open to using this service again?
*
Yes
No
Maybe
How valuable was my session experience today?
*
0 is no value, 10 is extreme value
Overall, I find this service valuable enough to recommend to others.
0 is no value, 10 is extreme value
This service could possibly be improved by ____?
How can we improve to help you better?
I'd like to give a testimony to encourage others via written, audio and/or video (optional).
Comments/Questions
Name
*
First Name
Last Name
Email
*
example@example.com
My Server:
Coach Paula
Submit
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