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Please complete the feedback form

You don't need to answers all questions, only the one that resonate with you. There are a few mandatory though (marked by a red star *).

Testimonial

Full Name *

Email *

COACHING EXPERIENCE

What attracted you in the coaching program? Why did you say 'Yes' to be my guinea pig?

How do you rate your coaching experience? *

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What did you like MOST about the program?

What did you like LEAST about the program?

What have you learnt from that coaching experience?

Do you feel your goals/reasons have been reached through that coaching program?

How did your health/lifestyle/relationship/career change from when you started coaching program?

What is your KEY take away from the program? *

Anything else you would like to tell me about your coaching experience?

SELF-ASSESSMENT

What were your goals/desires going into that coaching program?

How do you evaluate your commitment to the coaching program (1-Not committed, 10-Extremely committed)?

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Why did you give that rate?

Do you feel you achieved your goals/desires during that coaching program? And why?

How do you feel today, compare to when you started the coaching program?

How likely would you keep going with such coaching program (1-Not at all, 10-I will continue) ?

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If there is just ONE point you take away from our journey together, what would it be?

RAPHAEL ASSESSMENT

How do you rate Raphael as a coach? *

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Why have you given that rating?

Where and how do you feel Raphael was amazing?

Where and how do you feel Raphael can improve?

If there is ONE thing you would recommend to Raphael, what would it be? *

How likely would you recommend Raphael as a coach to your friends? *

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VALUE

How likely would you consider paying for such coaching program (1-Not at all, 10-I will invest) ? *

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How much would you be ready to invest per session? *

How likely would you continue if I was charging you (1-Not at all, 10-I will continue) ? *

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YOUR FUTURE

What is next for you?

What are you taking away for your life?

What is your #1 goals for the upcoming 6 months?

FINAL WORDS

Anything else worth mentioning?

Do you allow me to show your testimonial on the website? *

Yes

No

In maximum 3 sentences, what message would you share to others about your experience?

Do you allow me to show your picture on the testimonial? *

Yes

No

Please upload the photo you would like me to use with the testimonial?

Maximum upload size: 1MB

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