CLIENT FOLLOW UP FORM

The most valuable thing you own is your time, so thank you in advance for taking 5-10 minutes to fill out this form as a way to help me to help others like you, benefit from learning to live better in their bodies - empowering people is my passion. Your experience and your words mean so much to me and I'm honored to have had the opportunity to work with you. Choose the one that best describes your working relationship with me. *

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Please describe any problems you solved during our time working together.

Please describe any "A-HA" moments you had or knowledge you gained for yourself during our time spent working together.

What things were discovered that maybe you didn't expect in your sessions and how did working on them with me support your overall health and well being?

Give me some constructive feedback! How could I improve my process in working with clients or groups?

I love to reacquaint you with your amazing human body. How did I help you to reach a new level of self respect and/or self understanding through our work together? How have you been treating yourself differently from this perspective since working together?

On a scale from 1-10 how likely are you to recommend me to a friend, family member or colleague?

What makes my work, my perspective and my work in general special or stand out from either physical therapy or trainers?

Is there anything additional you'd like me to know? Please include additional constructive feedback please. I aim to refine my process through your valuable insight into what worked well but what perhaps did not for you.

May I use your comments above in future testimonials?

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Client Follow Up Form

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