Name
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First Name
Last Name
Email
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Date of Consultation
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MM
DD
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What type of support were you seeking during your session?
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(Check all that apply)
To what extent did the session meet your expectations?
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(Please select the number that best represents your experience.)
What felt most valuable or impactful during the consultation?
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Was anything missing from the session that you would have liked to receive?
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Session Impact & Experience Evaluation
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Please indicate the extent to which you agree or disagree with the following statements about your recent consultation. Your responses help us assess the quality, relevance, and effectiveness of the support provided.
I felt seen, heard, and respected during my consultation.
The consultation provided clarity or insight that will help me move forward in my personal, professional, or community-based goals.
The facilitator demonstrated expertise and provided guidance that felt tailored to my specific needs.
I would recommend HighBlackEsteem™ consultations to others who are seeking alignment, strategy, or purpose-driven support.
Do you feel clear on your next steps after this session?
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Are you interested in any of the following?
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Select any options that reflect how you’d like to stay connected or supported moving forward.
In a few words, how would you describe your experience with HighBlackEsteem™ to a peer or colleague?
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May we use a portion of your response as a testimonial (with your consent)?
Thank you for your feedback!
We appreciate you taking the time to share your experience. Your reflections help us refine our approach and continue showing up with excellence, integrity, and purpose for our clients and community.
If you requested additional support or expressed interest in next steps, we’ll follow up with you shortly. In the meantime, keep building, aligning, and honoring the truth of who you are.
In HighBlackEsteem™,
Align. Empower. Ascend.
