To summarize:
You don’t get referrals because you believe people refer the work. They don’t; they refer you. The work is a service, you are an experience.
People would have you believe that the problem is that your process isn’t clear enough. I am not so sure. I think the bigger problem is that you are lost in the work.
If you want referrals, you need to deserve them. You deserve them when you do your work generously, and with more humanity than your customers expect.