SLC L3 Peer Coaching Form
Name
(Required)
First
Last
Email
(Required)
Name of the person who coached me
(Required)
Date of conversation
(Required)
MM slash DD slash YYYY
What did the person who coached me do well when they were coaching me?
(Required)
What could they have done better?
(Required)
On a scale of 0-10, how helpful was this coaching session?
(Required)
Please enter a number from
0
to
10
.
What did you learn about coaching from this experience?
(Required)
On a scale of 0-10, rate your coach's abilities in active listening.
(Required)
Please enter a number from
0
to
10
.
On a scale of 0-10, rate your coach's abilities in helping you clear roadblocks.
(Required)
Please enter a number from
0
to
10
.
On a scale of 0-10, rate your coach's abilities in helping you set SMART goals.
(Required)
Please enter a number from
0
to
10
.
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