Feedback Form

This feedback form serves us both. It tells us how we are doing and it focuses our energy for the future. Remember that accelerated personal, professional, and organizational growth is the hallmark of being coached, so it is important to check our progress regularly. Please complete and submit this form often and when you conclude your coaching relationship. We are genuinely interested in your feedback!

Name*
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Please Rate
Please rate the following progress indicators on a scale of 1 to 5, with 1 indicating a low level of attainment while 5 indicates a high level of attainment.
1. I enjoy life more.
2. I am more organized.
3. I am more open to change.
4. I make more time for myself.
5. I have upgraded my standards.
6. I am creating reserves in my life.
7. I have expanded my boundaries.
8. I take much better care of myself.
9. I can see more clearly where I'm headed.
10. I am in a better position financially.
11. I am doing everything in my power to advance toward my goals.
Comment On The Following
Please comment on the following dynamics regarding how our coaching relationship has impacted your life and work.
12. Shifts I have started to make and who I am becoming:
13. How I have benefited from coaching personally:
14. How I have benefited from coaching professionally:
15. How coaching can assist me better:
16. My Clean Sweep scores and scores on other self-assessments I may have taken:
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Please Rate

Comment On The Following

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