INDIVIDUAL COACHING FEEDBACK FORM

INDIVIDUAL COACHING FEEDBACK

1. Who is/was your coach?(Required)

Name

2. What was the issue that inspired you to start coaching OR what was the opportunity you wanted to explore through coaching?(Required)

3. What is the biggest impact coaching has had on your life so far?(Required)

4. Had you decided not to participate in the coaching process, what could this have cost you? (please select all that apply):(Required)

	Please select all applicable boxes
Missed career opportunities
Potential diminished relationships at work
Increased stress
Diminished health
Potential diminished personal relationships
Other

If you marked “Other”, please provide further information below.(Required)

5. What are three things you really enjoyed/appreciated about your coach or his/her processes?(Required)

6. In which ways could your coach have served you better?(Required)

7. If you would like to provide a testimonial for your coach, it would be gratefully appreciated. You are under no obligation to do so. Testimonials can be anonymised – if you would prefer this please advise whether you would be happy with the attribution to be “your job title, your country”. E.g. “Marketing manager, Australia”

8. If you have provided a testimonial above, please confirm your preferred attribution:

I’m happy for you to use my real name, job description and location

I’d prefer if you use the job title and country I provide you with below

My preferred job title:

My preferred country:

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