Client Reflection Form • Soul Nourishment

You did it! You’ve made it to the end of the program! It’s been such an honor to be a part of your healing journey.

I created this form to guide you in a process of reflection and help you gain clarity about your next steps, whether that’s maintaining what you’ve achieved or elevating your health (and life) to the next level.

In addition, your feedback is very helpful and your thoughts are invaluable to me as I strive to provide the best and most effective experience I can for my clients. I’m grateful for any insight you want to share!

First Name*

Last Name*

Email*

Why did you join the program? What were your biggest struggles and frustrations?*

What has changed for you since we first started working together? What changes in your health, mindset, or life have you noticed?*

What have you learned?

What were you hoping to accomplish? Did you achieve that?

Are there any big "Aha" moments that you'd like to share?

Where would you like to go from here? What do you think needs to happen to get you there?

Where do you feel that you could use additional support?

On a scale of 1-10, BEFORE you started the course, how capable did you feel that you could improve your digestion and overall health?

On a scale of 1-10, now that you've finished the program, how capable do you feel that you have the tools and knowledge you need to continue on your healing journey and maintain control of your food sensitivities and digestive-related symptoms?

What strategies, topics, resources did you find the most helpful? What could be helpful for those coming into the program?

Is there anything else you'd like to share?

Consent: Is it alright if I share your answers in my content for other women who are interested in finding relief and investing in their health?
YesNo

If you're willing to share a testimonial to inspire other women with your success, I'd love to feature and celebrate you! Please add your testimonial here or send it to me by email. If you don't mind me sharing a photo along with your story, please send me a photo/headshot as well. Your story will be so helpful in bringing others hope and inspiration! Thank you so much!

Thank you for taking this time to reflect on your journey. I hope it was helpful for you in acknowledging (and celebrating!) how much has shifted and I hope you've gained some clarity about your next steps on your healing journey!