Thank you so much for giving me the opportunity to work with you as your coach. I sincerely hope that our time together was beneficial to you and that it empowered you to move forward in your life and aided you in accomplishing your goals. If you can take just a moment to fill out this exit interview form, it will provide valuable feedback for me and will give you an opportunity to share any thoughts, opinions, and insights you may have about coaching in general or about our sessions in particular.
This process may focus your thoughts on the changes and shifts you've undergone during the time of our business relationship and how they've impacted your life - personally, professionally and socially.
PART ONE On the line preceding each statement, please rank each of them on a scale of 1 to 5, 1 being a strong negative and 5 an exuberant positive. If a statement does not apply, please choose NA (not applicable)