Feedback Form

Monthly Client Survey

This monthly survey helps us improve the quality of your coaching experience, communication, and overall support. Honest feedback helps us make better decisions for your care, while also helping you reflect on what is working, where you may need more support, and how fully you are utilizing the process.

1. What is your email address? *

This helps us follow up when needed. Your feedback is reviewed for quality improvement, not judgment!

4. Do you feel clear on your current path forward in coaching? *

I achieved strong progress and feel equipped to continue on my own.

I feel complete with this phase of coaching and am ending on a positive note.

I am no longer willing or able to prioritize this level of investment and commitment right now.

The experience was not the right fit for what I needed.

5. Do you feel you have appropriate expectations for your current timeline and outcomes? *

Yes, completely. I understand what is realistic for this phase.

Mostly. I feel grounded overall, but I still have a few questions around timing or progress.

Somewhat. I understand parts of the process, but my expectations may still need refining.

No. I do not feel fully clear on what to expect right now.

6. Do you feel you understand why your current plan is structured the way it is? *

Yes, completely. I understand the reasoning behind my current protocol.

Mostly. I understand most of it, but I would benefit from a little more context.

Somewhat. I understand certain parts, but other parts still feel unclear to me.

No. I do not fully understand why my plan is set up this way right now.

7. Does your current protocol feel realistic to execute within your real life right now? *

Yes, fully. It feels practical and sustainable in this season of life.

Mostly. It feels manageable overall, with a few areas that are harder to execute consistently.

Somewhat. Parts of it feel doable, but other parts are difficult to maintain right now.

No. It does not feel realistic enough for my current life or capacity.

8. What got in the way of your consistency most this month? *

Time or schedule demands. My life logistics made consistency harder than usual.

Travel or routine disruption. Changes in routine made it harder to stay on track.

Stress or mental bandwidth. I felt mentally overloaded or stretched thin.

Symptoms or fatigue. My physical state made consistency more difficult.

Motivation. I struggled to stay engaged or follow through consistently.

Difficulty staying organized. I had trouble planning, structuring, or staying ahead.

I was unclear on what to prioritize. I needed more clarity around where to focus.

Nothing major got in the way. My consistency felt strong overall.

9. Looking back on this month, what would have created the biggest improvement in your results? *

More consistency from me

Better communication from me when I needed help

Better planning and preparation

Better stress or capacity management

More patience with the process

More clarity or adjustment within the plan

Nothing major. The month felt aligned overall.

10. Do you feel you are fully utilizing the level of coaching support available to you right now? *

Yes, completely. I am using the support, guidance, and communication available to me well.

Mostly. I am using the support fairly well, but I could probably lean in more in certain areas.

Somewhat. I know there is more available to me than I have fully used.

No. I do not feel I have been using the service to its full capacity.

11. When you needed support this month, how often did you actually reach out and use it? *

Consistently. I communicated when I needed help.

Usually. I reached out most of the time, but not always.

Inconsistently. There were times I should have used support more than I did.

Rarely. I held back or tried to figure too much out on my own.

12. Where do you feel you may have underused the support available to you this month? *

Asking questions when I felt unsure

Reaching out sooner when something felt off

Applying feedback more consistently

Being more honest about what was and was not working

Using accountability more intentionally

I feel I used the support well this month

13. Do you feel you are measuring progress through the right lens right now? *

Yes, completely. I can recognize progress through more than just physical changes.

Mostly. I understand the bigger picture, though I still narrow my focus at times.

Somewhat. I know other markers matter, but I still tend to judge progress too narrowly.

No. I feel like I am mostly evaluating progress through a limited lens right now.

14. Where have you noticed progress outside of the scale this month? *

15. Which part of the coaching experience have you benefited from most this month? *

Having a clear plan

Having personalized feedback

Being able to ask questions in real time

Having someone identify patterns I may miss on my own

Staying accountable

Learning how to interpret my body and symptoms more accurately

Having support adjusting the plan when life changes

16. What has been the most valuable part of coaching for you this month? *

17. What would have helped you feel more successful this month? *

18. What are your top achievements or wins from this month? *

19. How would you rate your overall Fueled experience this month? *

1- Very poor experience this month10 = Excellent experience this month

Please share any additional feedback here, if needed.