Name:
*
First Name
Last Name
Organisation:
*
Current role:
*
Name of your coach:
*
Total number of coaching sessions:
*
Review and rate the extent to which you have progressed on each of your goals that were set with your manager. To what extent have you accomplished Goal 1?
*
1 - To a small extent
2
3
4
5
6
7
8
9
10 - To a very great extent
NA
Goal 1:
*
With respect to Goal 1, what has worked? What hasn’t worked?
*
To what extent have you accomplished Goal 2?
*
1 - To a small extent
2
3
4
5
6
7
8
9
10 - To a very great extent
NA
Goal 2:
*
With respect to Goal 2, what has worked? What hasn't worked?
*
To what extent have you accomplished Goal 3?
*
1 - To a small extent
2
3
4
5
6
7
8
9
10 - To a very great extent
NA
Goal 3:
*
With respect to Goal 3, what has worked? What hasn't worked?
*
To what extent have you accomplished Goal 4?
*
1 - To a small extent
2
3
4
5
6
7
8
9
10 - To a very great extent
NA
Goal 4:
*
With respect to Goal 4, what has worked? What hasn't worked?
*
To what extent have you accomplished Goal 5?
*
1 - To a small extent
2
3
4
5
6
7
8
9
10 - To a very great extent
NA
Goal 5:
*
With respect to Goal 5, what has worked? What hasn't worked?
*
To what extent has your leadership effectiveness grown and developed?
*
1 - To a small extent
2
3
4
5
6
7
8
9
10 - To a very great extent
Reflecting on the previous question, why is this? Give examples.
*
What impact (that you intended to make) have you made on the business so far? Comment, please be specific.
What other impact/s have you noticed as a result of the coaching? What unanticipated outcomes have there been (positive or negative)? Comment, please be specific.
Please select the ways in which you have benefited from your coaching sessions:
Other ways in which you have benefited (please specify):
With these values / outcomes in mind, what are you doing differently as a result of your coaching program?
Research shows that organisations which provide their people with coaching benefit in a number of ways. Please mark the areas in which you believe your influence has increased as a result of your coaching sessions:
Other areas (please specify):
In achieving the increased influence in the above areas, what specific behaviours or capabilities have you adopted in your workplace as a direct result of coaching?
What was it about the coaching process and/or content that supported these ways of working? (Think about concepts, tools, articles, models and/or instruments that facilitated your learning and the changes you have made.)
Please rate your coach on each of the following areas:
Listening - Generously and With Empathy
Focusing on Your Goals / Agenda
Assisting You to Think Critically About Your Learning
Accurately Establishing your Key Issues
Identifying Patterns and Themes in Your Experience
Challenging Your Assumptions
Exploring Options For Your Development
Providing Feedback Appropriately
Respecting Your Viewpoint When Different to Hers / His
Accepting and Acknowledging Any Feelings You Expressed
Accurately Summarising and/or Reflecting What You Have Said
Sharing Ideas and Knowledge
Holding You Responsible for Taking Actions
What were the skills, capabilities or style of your coach that were particularly helpful and beneficial to you?
Please add any general comments on your experience with your coach:
On a scale of 1 to 10, how satisfied are you overall with the executive coaching services provided by Peoplemax?
1 - Highly Dissatisfied
2
3
4
5
6
7
8
9
10 - Highly Satisfied
Do you have any recommendations for us on how we can improve the Peoplemax Coaching Service? Is there anything specific that would have improved your overall coaching experience?
