Name *

Email Address *

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How did you hear about us?

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The Symptom Solution E-Course
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What did we work on together? *

Nutrition & Strength Coaching
Customized Hormone Coaching
VIP Hormone Coaching
Premium Hormone Coaching
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What was your biggest challenge when we first started working together? *

How has that challenge improved since our work together? *

What else did you try to overcome your challenges before working with me? What happened? *

What are the 1–2 most valuable things you have learned in our time together? *

How satisfied are you with your overall experience? *

Extremely satisfied

Satisfied

Neutral

Unsatisfied

What parts of your experience did you enjoy? *

Where could we improve? *

What made you choose to work with us to overcome your challenges? How did our coaching services stand out? *

What’s the most important thing people should know about working with us? *

Do we have permission to share your testimonial online? *

Yes

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Do you have any progress photos you would be willing to share? *

Yes

Would you be willing to do a video testimonial? *

Yes

No

Would you recommend our services? *

Yes

No

Why or why not?