{"id":2306,"date":"2019-09-10T23:23:15","date_gmt":"2019-09-10T23:23:15","guid":{"rendered":"http:\/\/sgmovement.com\/?page_id=2306"},"modified":"2020-09-22T12:48:00","modified_gmt":"2020-09-22T12:48:00","slug":"client-follow-up-form","status":"publish","type":"page","link":"https:\/\/sgmovement.com\/client-follow-up-form\/","title":{"rendered":"CLIENT FOLLOW UP FORM"},"content":{"rendered":"\n\t<h5>Client Follow Up Form<\/h5>\n<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-2305\"><form id=\"wpforms-form-2305\" class=\"wpforms-validate wpforms-form\" data-formid=\"2305\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/wp-json\/wp\/v2\/pages\/2306\" data-token=\"96a510c2b26632ddd591e1cbbe15cac8\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-2305-field_12-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-2305-field_12\">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&#039;m honored to have had the opportunity to work with you.                                                                                                    Choose the one that best describes your working relationship with me. <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-2305-field_12\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][12]\" required=\"required\"><option value=\"Single consultation\" >Single consultation<\/option><option value=\"I completed a 3 session Tune Up\" >I completed a 3 session Tune Up<\/option><option value=\"I completed the Move Well Skillset 12 Session Curriculum\" >I completed the Move Well Skillset 12 Session Curriculum<\/option><option value=\"I am an ongoing client in the Regenerative Movement Program\" >I am an ongoing client in the Regenerative Movement Program<\/option><option value=\"Attended a workshop or teacher training \" >Attended a workshop or teacher training<\/option><option value=\"Attended a corporate event or workshop\" >Attended a corporate event or workshop<\/option><\/select><\/div><div id=\"wpforms-2305-field_1-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-2305-field_1\">Name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-2305-field_1\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][1][first]\" required><label for=\"wpforms-2305-field_1\" class=\"wpforms-field-sublabel after \">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-2305-field_1-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][1][last]\" required><label for=\"wpforms-2305-field_1-last\" class=\"wpforms-field-sublabel after \">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-2305-field_3-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-2305-field_3\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-2305-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-2305-field_2-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-2305-field_2\">Please describe any problems you solved during our time working together. <\/label><textarea id=\"wpforms-2305-field_2\" class=\"wpforms-field-medium\" name=\"wpforms[fields][2]\" ><\/textarea><\/div><div id=\"wpforms-2305-field_4-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-2305-field_4\">Please describe any &quot;A-HA&quot; moments you had or knowledge you gained for yourself during our time spent working together.<\/label><textarea id=\"wpforms-2305-field_4\" class=\"wpforms-field-medium\" name=\"wpforms[fields][4]\" ><\/textarea><\/div><div id=\"wpforms-2305-field_9-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-2305-field_9\">What things were discovered that maybe you didn&#039;t expect in your sessions and how did working on them with me support your overall health and well being?<\/label><textarea id=\"wpforms-2305-field_9\" class=\"wpforms-field-medium\" name=\"wpforms[fields][9]\" ><\/textarea><\/div><div id=\"wpforms-2305-field_18-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-2305-field_18\">Give me some constructive feedback! How could I improve my process in working with clients or groups? <\/label><textarea id=\"wpforms-2305-field_18\" class=\"wpforms-field-medium\" name=\"wpforms[fields][18]\" ><\/textarea><\/div><div id=\"wpforms-2305-field_6-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-2305-field_6\">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?<\/label><textarea id=\"wpforms-2305-field_6\" class=\"wpforms-field-medium\" name=\"wpforms[fields][6]\" ><\/textarea><\/div><div id=\"wpforms-2305-field_7-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-2305-field_7\">On a scale from 1-10 how likely are you to recommend me to a friend, family member or colleague?<\/label><textarea id=\"wpforms-2305-field_7\" class=\"wpforms-field-medium\" name=\"wpforms[fields][7]\" ><\/textarea><\/div><div id=\"wpforms-2305-field_8-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-2305-field_8\">What makes my work, my perspective and my work in general special or stand out from either physical therapy or trainers?<\/label><textarea id=\"wpforms-2305-field_8\" class=\"wpforms-field-medium\" name=\"wpforms[fields][8]\" ><\/textarea><\/div><div id=\"wpforms-2305-field_10-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-2305-field_10\">Is there anything additional you&#039;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.<\/label><textarea id=\"wpforms-2305-field_10\" class=\"wpforms-field-medium\" name=\"wpforms[fields][10]\" ><\/textarea><\/div><div id=\"wpforms-2305-field_22-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-2305-field_22\">May I use your comments above in future testimonials?<\/label><select id=\"wpforms-2305-field_22\" class=\"wpforms-field-medium\" name=\"wpforms[fields][22]\"><option value=\"Yes\" >Yes<\/option><option value=\"No\" >No<\/option><option value=\"Third Choice\" >Third Choice<\/option><\/select><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-field wpforms-field-hp\"><label for=\"wpforms-2305-field-hp\" class=\"wpforms-field-label\">Name<\/label><input type=\"text\" name=\"wpforms[hp]\" id=\"wpforms-2305-field-hp\" class=\"wpforms-field-medium\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"2305\"><input type=\"hidden\" name=\"wpforms[author]\" value=\"5\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-2305\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><\/div><\/form><\/div>  <!-- .wpforms-container -->\n","protected":false},"excerpt":{"rendered":"<p>Client Follow Up Form<\/p>\n","protected":false},"author":5,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.4 - 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