Follow Up FUN!!

Your feedback is so helpful in improving my skills.

I encourage you to be 100% honest.

Thank you!

Name

First Name

Last Name

Will you be attending another session?

Please share your overall thoughts and feelings about our session. I welcome all feedback.

Please rate the following based on your last session

I chose the topics of conversation.

I felt heard and understood

I have remained consistent in my effort

I am making forward progress on my action steps

Agree or Disagree

I could make more progress but the action steps were not that important to me.

On a Scale 1-10

10- Agree 1- Disagree 10- Good 1- Bad

I am happy with my progress pace

I am learning lessons about myself

I am setting my own action steps

I am committed to being my best self

Do you have any friends or family who might enjoy Health and Wellness Coaching?

I would love to chit chat with them :)