Testimonial form • Nurtural

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Testimonial formAngela Henderson2022-11-28T12:28:37+00:00

I would be very grateful if you could provide feedback about your experience in working with me. If you’ve been happy with the process and with my service, I’d love it if you could write a short testimonial below that I can use as an endorsement for spreading the word about my nutritional therapy practice.

Name *

First

Last

I will only use your first name if I quote you in publicity materials, and only if you give me permission to do so below.

Email *

Your health goals

Please state in a few words what your main reasons were for seeking nutritional therapy

Which product/service did you use?

What benefits did you gain from this service/product? *

Please describe any positive health outcomes, new habits, support received, knowledge gained or other benefits you experienced

What could have been better about your experience?

May I post your testimonial (or a portion of it) on my website or other publicity materials? *

Yes
No

Would you like your testimonial (or quote) to be anonymous? *

Yes, please make it anonymous
I'm happy for you to use my first name

Upload an image of yourself if you'd like it attached to your testimonial.

Click or drag a file to this area to upload.

Rating: the consultation

Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5

Please rate how happy you were with the consultation process

What did you like about the consultation, and what could have been better?

Please give feedback on the consultation itself. Leave blank if you did not have a consultation.

Rating: the Health Optimisation Plan (HOP)

Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5

Please rate how happy you were with the Health Optimisation booklet that was compiled for you after your consultation.

What did you like about the HOP, and what could have been better?

Please give feedback on the HOP document itself. Leave blank if you did not have a consultation.

Rating: communication

Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5

Please rate how happy you were with my communication before and after the consultation, or in general if you didn't have a consultation.

What were the positive aspects of my communication with you, and what could have been better?

Please give feedback on my communication with you.

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