HOW EFFECTIVE AM I AS A COACH?

Name of Employee ________________________________ Date: ____________________

Thank you for taking the time to help me. I am interested in your honest feedback of my skills and attitudes as
a coach. Don’t feel you have to “fudge” and not to tell the truth. To be the best supervisor, I need and want
your candid responses.

SCORING KEY:
1 – Seldom Displayed 2 – Sometimes Displayed 3 – Almost Always Displayed

As my supervisor, you :

Seldom Sometimes Almost Always

1. Capitalize on my strengths 1 2 3

2. Give me visibility 1 2 3

3. Provide freedom to do my job 1 2 3

4. Set standards of excellence 1 2 3

5. Orient me to company values and business strategy 1 2 3

6. Hold me accountable 1 2 3

7. Protect me from undue stress 1 2 3

8. Encourage me when I’m discouraged or about to 1 2 3

undertake a new or difficult assignment.

9. Provide information about the company and my role 1 2 3

in the attainment of office goals

10. Make performance expectations and priorities clear 1 2 3

11. Take time to build trust 1 2 3

12. Provide appropriate training and support when needed 1 2 3

13. Solicit and listens to my ideas 1 2 3

14. View me as a partner who is critical to the success of 1 2 3

the unit

15. Serve as a good role model 1 2 3

16. Won’t let me give up 1 2 3

17. Don’t divulge confidences 1 2 3

18. Explain reasons for decisions and procedures and 1 2 3

give advance notice of changes whenever
possible

19. Provide me with regular feedback about my 1 2 3

job performance

20. Give me credit when I deserve it 1 2 3

_________ ________ __________

TOTAL _________ ________ __________

Now choose five attributes where you need the most improvement (i.e. those where you rated yourself 1 or 2)
and write them below.

1.

2.

3.

4.