Testimonial Form

Feedback and Testimonial

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Name *

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1. What personal feedback would you give me as your coach? *

2. Where would you point me towards improving my service? *

3. On a scale of 1 to 10, how likely would you be to recommend this service to a friend or colleague? *

4. What would you tell them? *

5. Would you be willing to write a testimonial on how you transformed or benefited from our work together? If no, proceed to question 8. *

Yes. Not at this time.

6. Write your testimonial below. *

7. May Surf Life use your name and title on our testimonial page? *

Yes No, I prefer to remain anonymous.

8. Who, out of your network, could benefit from coaching and may I ask you for an introduction or referral? *

Other thoughts: *

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Thank you very much for your feedback!