El Puerto de Santa María, Spain +34 657 34 69 00 Monday to Friday 10h to 12h and 16h to 19h. Spain time claudettecolombani@gmail.com

ASSESSMENT QUESTIONNAIRE FOR CLAUDETTE COLOMBANI

Town / City, and Country where you live:
1. How did occur the counselling or session either individually or in group with Claudette? :


2. What experience did you have with Claudette?:


3. In order to explain witch interaction you had with Claudette, please choose one or more of the following options


4. How did you feel during your experience with Claudette? You may select several option if need it:


5. What degree of professionalism would you say you felt when interacting with Claudette? :


6. Would you do again any of the activities you experience with her or even other you haven’t done yet?


7. Would recommend her work so she could help other people?


8. What would you say to recommend her? You may choose several options if need it.


9. Would you like to make a suggestion?


10. Value your satisfaction,
being 1 the least satisfied, and 5 the highest score


11. Please write about what you felt when treating with her
You could also describe all emotional and / or physical sensations felt during and after the session or course, etc.


12. Do you consent we use some or all of your answers as testimony within the website?


13. Birthdate


14. Town / City and Country of birth:


15. Time of birth(24 hours format)


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