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Client feedback form

Thanks so much for taking the time to complete this questionnaire. It should take no more than 5 minutes to complete and you can share your thoughts as openly as you feel comfortable. Your feedback will be treated with care, and if you’d prefer to share anonymously, just leave the personal details blank. Your email address will not be attached to this form when you submit.

Personal details

Feel free to leave this blank if you wish your feedback to be anonymous.

About your sessions

(Scale: 1 = Poor, 5 = Excellent)

Communication & support

(Scale: 1 = Not at all, 5 = Absolutely)


Personal outcomes

(Scale: 1 = Not at all, 5 = Completely)


Client journey & experience

Give me a few words or write an essay!

Further recommendations

(Scale: 1 = Definitely not, 5 = Absolutely)


Any other feedback

Testimonial

If you’d like to remain anonymous just check the box below and your name will not be used.

Thank you. I’m incredibly grateful for your input, and I’m committed to using your feedback to continue enhancing your experience.

See you soon! Amy x

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