Coaching Session Feedback

We would highly appreciate it if you would give us a through Feedback on everything. We appreciate your time and honesty!

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Name *

First

Last

Client's Name *

Client's Company Name *

Session Date & Time *

Date

Time

Session # *

On a scale of 1 to 5 please answer the following questions *

	1	2	3	4	5
How did the session go?	1How did the session go? 1	2How did the session go? 2	3How did the session go? 3	4How did the session go? 4	5How did the session go? 5
What is the client’s overall receptivity to working with a coach?	1What is the client’s overall receptivity to working with a coach? 1	2What is the client’s overall receptivity to working with a coach? 2	3What is the client’s overall receptivity to working with a coach? 3	4What is the client’s overall receptivity to working with a coach? 4	5What is the client’s overall receptivity to working with a coach? 5
How is the overall commitment and engagement of the client during the session ?	1How is the overall commitment and engagement of the client during the session ? 1	2How is the overall commitment and engagement of the client during the session ? 2	3How is the overall commitment and engagement of the client during the session ? 3	4How is the overall commitment and engagement of the client during the session ? 4	5How is the overall commitment and engagement of the client during the session ? 5
What is the level of the client’s clarity on achieving their goals so far?	1What is the level of the client’s clarity on achieving their goals so far? 1	2What is the level of the client’s clarity on achieving their goals so far? 2	3What is the level of the client’s clarity on achieving their goals so far? 3	4What is the level of the client’s clarity on achieving their goals so far? 4	5What is the level of the client’s clarity on achieving their goals so far? 5

1 being the lowest/worst, 5 being the highest/best

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