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BreathBrainBelly@gmail.com
401-864-9349

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assessment form

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client experience

If you have experienced working with Stacey and feel that your experience was beneficial, transformative or valuable, she would be grateful if you took a moment to share your experience with her and others.

Creating sacred containers for transformation and untaming involves focusing on your overall experience, personal growth, and specific aspects of the process. Feedback of your own inner experience is so valued and valid to me and to the ever expanding methods and spaces for our new earth and the reunion of the Masculine and Feminine Divinity within each human being..

This is a neutral space to openly share authentic experiences and it is not personal to me, nor will I judge what you share. I will use this information to further refine and alchemize my work for the higher purposes of the collective. It can also be used as a tool for you to reflect on your journey deeper into The Self.

Share Your Experience

General Information

1. Name

First Name

Last Name

2. Email

3. What motivated you to work with me?

4. What were your physical daily and inner struggles like before this journey?

5. How is your perspective different now?

Experience & Satisfaction

1. On a scale of 1 to 10, how would you rate your overall satisfaction with our time together?

2. Which aspects of the journey did you find most beneficial?

3. Were there any aspects of our time that did not meet your expectations? If so, please explain.

4. How would you rate the effectiveness of the coaching sessions in helping you enter new landscapes and languages to apply to your Self?

Personal Growth & Impact

1. How has holistic coaching impacted your personal well-being and growth?

2. Can you provide specific examples of improvements or positive changes in your life due to our time together?

3. How have these methods influenced your mental, emotional, and physical foundation? Did it rock your boat or just trickle in some holy water?

Specific Feedback

1. How would you rate my ability to listen and understand your needs/desires?

2. How effective were the strategies and techniques used during the sessions?

3. Were the coaching sessions tailored to your individual needs?

Comparisons & Competitors

1. Have you tried other coaching services before? If so, how does my frequency and curation compare?

2. What made you choose this holistic service over others?

Likelihood of Recommendation

1. On a scale of 1 to 10, how likely are you to recommend this journey of services to others?

2. What would be the primary reason for your recommendation?

Testimonial & Permission

1. Would you be willing to provide a testimonial or review that I can share with others seeking the same sacred spaces?

2. May I use your feedback in my media materials?

Yes

Open-Ended Questions

1. Is there anything else you would like to share about your experience with me?

2. Do you have any additional comments or suggestions for improving my unique offerings?