Nurse Coaching Assessment Survey

Hello, this is Nurse Bethany. Thank you so much for allowing me to work with you as a Nurse Coach. During our sessions, my focus is always on you and your health and wellness goals. To make sure you and others are getting the most out of these coaching sessions, please collaborate with me using this anonymous survey. Your feedback on my coaching style, the progress you've made and any thoughts you have to better the Nurse Coaching program are greatly appreciated. 

Secured
Survio
Create a survey

Dr. Arnold and I are hoping to expand the Nurse Coaching program and really hope you will be honest with your feedback. Whether you've finished your sessions or you are in the midst of your journey with me, your input is so important to the program's growth. 

Thank you for your thoughts and time. 

1

How would you rate your Nurse Coaching experience overall?

2

What was your initial reason for seeking Nurse Coaching?

Select one or more answers
3

Did your Nurse Coach provide a space that was warm, welcoming and nonjudgemental?

Select one or more answers
4

Did you and your Nurse Coach work together to create a clear health goal or vision?

Select one or more answers
5

Did you accomplish your initial goals?

6

How did you measure your goal accomplishment?

7

Did your Nurse Coach do awareness practices (meditations) with you during your sessions?

Select one or more answers
8

If your Nurse Coach used awareness practices (meditations) during your sessions, how did you feel about these practices?

Select one or more answers
9

If your Nurse Coach used awareness practices (meditations) during your sessions, did you practice them yourself at home?

Select one or more answers
10

What topic did your Nurse Coach educate you about?

Select one or more answers
11

What knowledge or information that you gained about nutrition, fitness, and/or health will be most valuable in the future?

12

What behavioral change are you most proud of having made while working with your Nurse Coach?

13

What was the biggest lesson you learned about yourself through the process of coaching?

14

Do you believe you are healthier (physically, mentally, emotionally, spiritually etc) since starting Nurse Coaching?

Select one or more answers
15

If you are no longer working with your Nurse Coach, what was your reason for stopping?

Select one or more answers
16

If you are no longer working with your Nurse Coach, are you continuing the behavior changes established during coaching?

Select one or more answers
17

What did you appreciate most about Nurse Coaching?

18

Do you have any suggestions as to how we might improve Nurse Coaching in the future?

19

How likely are you to recommend Nurse Coaching to your friends, family, and/or colleagues?

20

Please consider writing a brief 1-2 sentence testimonial that we may share (anonymously) on our website and/or social media

Create a survey