Agent of Change Coaching Feedback Form Thank you for choosing Agent of Change Coaching Services. Please complete the following questionnaire. It is designed to take you 5-10 minutes. Your honest feedback is much appreciated and will be a great help in providing more skilled coaching to the community. Please complete this in one sitting, do not refresh the page or you may lose the information. Many thanks HeathName* First Last Email* Suburb*Occupation Title*Please comment on your overall experience of the coaching.I'm achieving my results.*Strongly AgreeAgreeNeutralDisagreeStrongly DisagreeMy expectations of the coaching were fulfilled.*Strongly AgreeAgreeNeutralDisagreeStrongly DisagreeI got more than I expected out of it.*Strongly AgreeAgreeNeutralDisagreeStrongly DisagreeMy overall satisfaction with the service was high.*Strongly AgreeAgreeNeutralDisagreeStrongly DisagreeThe facilities were adequate for the coaching.*Strongly AgreeAgreeNeutralDisagreeStrongly DisagreeI felt empowered by the coaching.*Strongly AgreeAgreeNeutralDisagreeStrongly DisagreeI felt motivated by the coaching.*Strongly AgreeAgreeNeutralDisagreeStrongly DisagreeI felt supported by the coaching.*Strongly AgreeAgreeNeutralDisagreeStrongly DisagreeI will recommend Heath’s coaching to others.*Strongly AgreeAgreeNeutralDisagreeStrongly DisagreeI am interested in engaging further in Agent of Change Coaching and/or events and courses at some stage in the future.*Please choose oneYesNoDo you have any friends/colleagues who would benefit from Agent of Change services and would you be happy to make an introduction?*Please chooseYesNoPlease comment on Heath’s coaching facilitation.Heath created rapport and a real and personal connection with me.*Strongly AgreeAgreeNeutralDisagreeStrongly DisagreeThe processes Heath facilitated spoke to my needs.*Strongly AgreeAgreeNeutralDisagreeStrongly DisagreeHeath's advice and tasks were practical and helpful.*Strongly AgreeAgreeNeutralDisagreeStrongly DisagreeHeath was inspirational.*Strongly AgreeAgreeNeutralDisagreeStrongly DisagreeHeath's coaching style suited me well.*Strongly AgreeAgreeNeutralDisagreeStrongly DisagreeIs there any extra feedback you might like to add regarding the coaching. Is there anything that Heath should "Stop Doing", "Start Doing" or "Continue Doing" as a coach?You are invited to write a testimonial to be used respectfully in Agent of Change marketing and promotional media.PLEASE WRITE YOUR TESTIMONIAL BELOW :: Some ideas to help - Where were you before the coaching and where are you now? What about the coaching had the greatest impact for you? What was your most useful and practical learning/s? What did you like about Heath as a coach? Would you recommend Heath to others and why?
