Name
*
First Name
Last Name
Email
*
How effective was coaching in helping you reach your goals?
*
1 = not effective, 4 = highly effective
1
2
3
4
How well did I help you explore what was important to you?
*
1 = not at all, 4 = very well
1
2
3
4
How well did I get the balance of supporting you, yet challenging you?
*
1 = not at all, 4 = very well
1
2
3
4
How likely are you to recommend me as a coach?
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1 = not at all likely, 4 - very likely
1
2
3
4
What reservations did you have ahead of our work together?
What changes did you notice as a result of our coaching?
How do you feel at the end of our sessions together?
What would you have changed to make our coaching sessions even more effective for you?
What actions will you take as a result of the coaching?
Is there any other feedback that you would like to give?
May I use your feedback in future marketing?
*
Yes, and you can share my name and work details (company and role)
Yes, please keep me anonymous
No
If yes, please give personal details that you are happy for me share in marketing materials (e.g. name, work role, company)