1. I have benefited from working with my coach.
Strongly DisagreeDisagreeAgreeStrongly Agree
2. My coach and I connected well.
3. My expectations for the coaching have been met.
4. My expectations for this coaching program were:
5. The 3 top benefits I received from working with my coach are:
1 >>
2 >>
3 >>
6. The 3 things I would like to say about my coach are:
7. I would refer this service to others.
8. If you have previous experience with, or have attended, other forms of counselling or psychology support please share how you may have found your experience of Psychology Coaching to be in comparison.
9. If you were taking any prescribed medications before our coaching sessions which you have now reduced or stopped due to your progress, please could you share a little note about this here.
10. I am willing to be contacted to provide a reference for other people considering coaching.
Agree, I can be reached at the following number:
11. It is our aim to collect a brief testimonial from each and every client; such highlights allow us to share the value of coaching with others. Below are a few prompts to help you write a testimonial.
I used to feel/experience/suffer from/have/struggle to…
But after working with you I have/know/can/ no longer/feel…
Thank you for…
I would recommend anyone…
12. I agree or don't agree that you may confidentially use the information provided in this form for marketing purposes.
I AgreeI don't agree
13. I agree I have read the Privacy Notice and to how you will use the information / data on this form.
I Agree
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