Feedback Questionnaire | The Living Altar

Thank you for taking time to share your experience.

•••

Your honest feedback helps me continue creating healing spaces that truly serve.

PART 1: YOUR JOURNEY TO ME

2. What were you searching for or struggling with when you found me? (Please be as specific as possible - what what kind of care or services?)

3. What made you decide to work with me specifically? (What stood out about my approach compared to others?)

4. Was there anything that almost stopped you from booking? (Hesitations, concerns, confusion about offerings?)

PART 2: YOUR EXPERIENCE

6. In 3-5 words, how would you describe your experience working with me?

7. What was the most valuable or transformative part of our work together? (What shifted, opened, healed, or became clear?)

8. Was there anything missing or something you wish had been included?

9. On a scale of 1-10, how well did the work meet your expectations?

- What would have made it a 10?

PART 3: LANGUAGE & RESONANCE

10. When you describe my work to others, what words do you use?

11. When you describe my work to others, what words do you use?

12. If someone asked "Why should I work with Selina?" what would you tell them?

PART 4: YOUR NEEDS & DESIRES

13. What other support, offerings, or services would be valuable to you? (Programs, session types, resources, community spaces, etc.)

14. Are there topics or healing areas you wish I addressed more directly in my work?

15. What time commitment feels most realistic for your healing journey?

16. What price range feels accessible and appropriate for the depth of work we do together?

(This helps me understand how to structure offerings sustainably

Single session pricing:

Multi-session containers or package pricing:

Group programs pricing:

PART 5: COMMUNITY & CONNECTION

18. Would you be interested in more community connection with other clients?

Yes - circles, groups, online community

Maybe - depends on format

No - I prefer 1:1 work

Not sure

19. Are there cultural, accessibility, or safety considerations I should know about to better serve you?

20. Would you recommend my work to others?

Yes, absolutely

Yes, with some reservations

Not sure

No.

- If No, would you feel comfortable sharing why?

- If Yes: Who specifically would benefit most from this work?

21. May I share your feedback (anonymously or with attribution) in my marketing?

Yes, use my full name

Yes, but use first name and initial only

Yes, but keep it anonymous

No, for my eyes only

Your voice matters deeply in shaping how I show up and serve. If you'd like to share anything else—stories, struggles, celebrations, or suggestions—please do so here:

Want to stay connected?

Add me to your email list for seasonal offerings

Notify me about new programs first

I'm good - I'll reach out when ready

First name

Email

Thank you again for taking the time, I deeply appreciate it.

With gratitude,

Selina

The Living Altar

CLIENT FEEDBACK QUESTIONNAIRE