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Coaching Feedback Form

Thank you for taking the time to fill out this coaching feedback form. It is intended to evaluate your satisfaction and results you have achieved through our working parent coaching program.

At the end of the form, we will ask you if you are happy to release the feedback to your coach. Feedback shared is always done in the spirit of helping your coach to grow and improve as a coach.

Click the button below to start.

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Question 1 of 14

Please enter the name of the company you are employed by:

Question 2 of 14

Please enter the full name of your coach:

Let's begin...

Please rate the coaching program elements listed below using the following scale.

5 = Strongly agree

4 = Agree

3 = Undecided

2 = Disagree

1 = Strongly disagree

Question 4 of 14

The coach helped me to set stretching, yet achievable goals

A

5 = Strongly agree

B

4 = Agree

C

3 = Undecided

D

2 = Disagree

E

1 = Strongly Disagree

Question 5 of 14

The coaching helped me to increase my self-awareness

A

5 = Strongly agree

B

4 = Agree

C

3 = Undecided

D

2 = Disagree

E

1 = Strongly disagree

Question 6 of 14

The coaching helped me to feel empowered to reach immediate goals

A

5 = Strongly agree

B

4 = Agree

C

3 = Undecided

D

2 = Disagree

E

1 = Strongly disagree

Question 7 of 14

The coaching helped me to feel empowered to reach future goals I have set

A

5 = Strongly agree

B

4 = Agree

C

3 = Undecided

D

2 = Disagree

E

1 = Strongly disagree

Question 8 of 14

How did having a coach benefit your work/life?

Question 9 of 14

What particular gifts or strengths did your coach bring to the coaching sessions?

Question 10 of 14

 

Did you achieve the goals/results you were looking for from the coaching engagement? How so or not?

Question 11 of 14

 

What would you have changed to make our coaching engagement even more effective for you?

Question 12 of 14

 

Is there any other feedback that you would like to give?

Question 13 of 14

May we share this feedback with your coach for her/his growth and development?

A

Yes

B

No

Question 14 of 14

 

May we use your feedback as a client testimonials? Name withheld or not?

A

Yes - name withheld

B

Yes - happy to share my name

C

No thanks

Confirm and Submit