Testimonial and Feedback Form

I deeply appreciate your time and energy. Approximately 10 minutes of your time will help me expand the ripple effect of my impact in the world.

YOUR INFO

Name

First Name

Last Name

Title

Company / Position / Job Title

Email

So we could stay in touch when I think of you

Website

or Social Media

http://

Phone

Don't worry– this is for me

Country

(###)

###

####

FEEDBACK

What experience did you have with The Bougie Bruja Co.®?

Which offering did you have?

Was this investment worth it?

Was this investment worth it? (time/energy/resources)

Yes

No

Would you recommend this experience to a friend?

Yes

No

BEFORE

What was life like before this experience?

What were you struggling with? What was your biggest fear? How were you doubting yourself?

What have you tried—to solve your challenges—before this experience?

How did it go?

What was the main reason, doubt or insecurity that was holding you back from having this conversation?

And what put your fears to rest?

AFTER

What was the most empowering/impactful thing you took away from our time together:

What were the tiny insights that made the biggest difference?

What would be the cost of not investing in yourself?

If you didn't invest in this experience, what would be the cost?

How would you describe your experience with Portia in one or two words?

Top 3 ways you felt supported by me:

(ex. "I felt seen", " I felt safe", "I didn't feel judged")

OPTIONAL (and deeply appreciated)

Share 3-5 traits or qualities that are unique to me (Portia) as a Guide/Mentor:

What exactly did you LOVE most about the experience?

What has been your LEAST favorite thing about the experience?

Is there anything you wish I had done differently?

If you were to refer a friend, what would you tell them I specialize in?

Is there anything else you would like me to know?

Are you okay with me sharing your testimonial on my website?

Your authentic testimonial will support others to invest in themselves and be part of this supportive community and get unstuck! Please check all that apply

YES! I'm delighted to be a catalyst for change!

YES AND please also link my website or social for exposure! I'M READY TO PLAY BIG!

YES AND if the next participants would like to be in conversation I would love to volunteer to support!

YES to sharing testimonial AND please don't share my full name

No AND I love you!

LET'S GET INTIMATE

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