Client Survey Form Name* First Last Email* What problem were you dealing with when you contacted me?*What problem were you dealing with when you contacted me?How was this problem making you feel?How was this problem making you feel?How did I demonstrate I understood your problem?How did I demonstrate I understood your problem?Why did you trust me to help you solve this problem?Why did you trust me to help you solve this problem?What surprised you about working together?What surprised you about working together?What does life look like now after we've worked together?What does life look like now after we've worked together?Anything else you would like to share?Anything else you would like to share?Do I have your permission to use the information you provided as part of a testimonial under your name?*Do I have your permission to use the information you provided as part of a testimonial under your name? Yes, of course! Yes, but please have me review it first. No, thank you.
