Thank you for filling out this review form! I use your experience to improve myself and my services. 
Besides that it can help other people a lot when they are considering a coach. Think about the moment that you were thinking about a coach and did not know which coach to contact. How helpful is a review for you at that particular moment. 

By checking the box at the bottom of the form you decide if this review is for me only, or if I can use it on my website as review.