Confidence Coach Feedback Form This form is for Volunteer Confidence Coaches to record their outreach and coaching sessions. Question Title * 1. Coach's Preferred Email Question Title * 2. Confidence Coach First Name Question Title * 3. Confidence Coach Last Name Question Title * 4. Meeting Date Meeting Date Date Question Title * 5. Client's Email Question Title * 6. Client First Name Question Title * 7. Client Last Name Question Title * 8. Outreach or Connection Outcome Left a voicemail message Unable to leave voicemail message Had phone session Intro to Coaching session completed Reached out via email with response Reached out via email with no response Client called back and left a voicemail message Question Title * 9. Would you like to continue to coach this client or have them work with another coach? Yes No Question Title * 10. If not, please note a suggested coach or coach attributes/areas of expertise that would be helpful for this client at this time. Question Title * 11. Note client Confidence Coaching needs for support and assistance here: Question Title * 12. Any tasks or concerns you'd like staff to reach out to client about? Question Title * 13. Tell us about your client session today (example "client was upbeat and excited, client was tired and frustrated...") Question Title * 14. Demonstrated Motivation Score Low Demonstrated Motivation Score Medium Demonstrated Motivation Score High Demonstrated Motivation Score Low Demonstrated Motivation Score Medium Demonstrated Motivation Score High Demonstrated Motivation Score Question Title * 15. Demonstrated Focus Score Low Demonstrated Focus Score Medium Demonstrated Focus Score High Demonstrated Focus Score Low Demonstrated Focus Score Medium Demonstrated Focus Score High Demonstrated Focus Score Question Title * 16. Estimated Time for session (number in minutes) Done
