Client Graduation/Exit Feedback Form

Reasons for Discontinuing the Service

E.g. you have graduated from the service, you are no longer enjoying the service, you have financial constraints.

Adherance

How was your adherence been to your nutrition programming so far?

Reasons For Adherence

Why do you think your adherence was the way it was? What could have improved your adherence?

Onboarding Experience

Please rate your onboarding experience from 1 (Couldn't be worse) to 10 (Couldn't be better)

Onboarding Improvements

How could we make the onboarding experience better?

Check In and Consult Experience

Please rate your Check in and Consult experience from 1 (Couldn't be worse) to 10 (Couldn't be better)

Consult and Check In Improvements

How could we make the consult and check in experience better?

Referral

On a scale of 1-10, how likely would you be to refer someone to this service - 1 (No Chance) to 10 (I'd Love To)

If you've answered 8 or above for the referral question, please list the person(s) you would like to refer along with their name and contact details

Other

Anything else that you'd like us to know?

Best Thing

What was the best thing you experienced during your time using this service?

Worst Thing

What was the worst thing you experienced during your time using this service?