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:
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My Beginning Number was...
(Complete if you recall)
My Ending Number was
(Complete if you recall)
The issues I/we identified were:
*
The insights I gained were:
*
If a lie and a truth were revealed, what was it?
What worked for me was:
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What didn't worked for me was:
Was there a physical issue or sensation that improved or resolved in this session or since previous sessions (that hasn't been mentioned here before)?
Overall Satisfaction of service (by phone? may need to tilt to sideways/landscape - should see 5 columns)
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?
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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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