Coaching Cycle Evaluation Please take a moment to provide feedback on the classroom coaching you completed. Check the box the corresponds with each statement. Question Title * 1. Coaching Information Dates of session: (i.e. July 2018 - September 2018) Coach's name: Site name: Zip code of site: County of session: Your name: Question Title * 2. Program Affiliation (select the one that best suits you): Early Head Start Head Start Child Care PreSchool Early Intervention (EI) Pre-K Pre-K Special Ed K-3 Institution of Higher Education Medical Clinic/Hospital Department of Social Services Child Care Resource & Referral Agency Other (please specify) Question Title * 3. Position (select the one that best suits you): Administrator Education Coordinator Teacher Teacher Assistant Disability Coordinator Social Worker/Mental Health Counselor Psychologist Family Educator OT/PT LPN/RN Trainer/Technical Assistance Provider Positive Behavioral Support Staff Home Visitor Faculty Member Other (please specify) Question Title * 4. County(s) you serve: Albany Allegany Bronx Broome Cattaraugus Cayuga Chautauqua Chemung Chenango Clinton Columbia Cortland Delaware Dutchess Erie Essex Franklin Fulton Genesee Greene Hamilton Herkimer Jefferson Kings (Brooklyn) Lewis Livingston Madison Monroe Montgomery Nassau New York (Manhattan) Niagara Oneida Onondaga Ontario Orange Orleans Oswego Otsego Putman Queens Rensselaer Richmond (Staten Island) Rockland St. Lawrence Saratoga Schenectady Schoharie Schuyler Seneca Steuben Suffolk Sullivan Tioga Tompkins Ulster Warren Washington Wayne Westchester Wyoming Yates Question Title * 5. Number of children ages 0-5 years you serve, directly or indirectly (if you are an administrator or trainer): Question Title * 6. Please choose the box that best describes your opinion as a result of participating in this coaching cycle: Strongly Agree Somewhat Agree Somewhat Disagree Strongly Disagree I feel comfortable with my coach I feel comfortable with my coach Strongly Agree I feel comfortable with my coach Somewhat Agree I feel comfortable with my coach Somewhat Disagree I feel comfortable with my coach Strongly Disagree We have established a team approach (collaborative partnership) We have established a team approach (collaborative partnership) Strongly Agree We have established a team approach (collaborative partnership) Somewhat Agree We have established a team approach (collaborative partnership) Somewhat Disagree We have established a team approach (collaborative partnership) Strongly Disagree We have agreed on the goals and planned action steps for the coaching sessions We have agreed on the goals and planned action steps for the coaching sessions Strongly Agree We have agreed on the goals and planned action steps for the coaching sessions Somewhat Agree We have agreed on the goals and planned action steps for the coaching sessions Somewhat Disagree We have agreed on the goals and planned action steps for the coaching sessions Strongly Disagree The observations by my coach are focused and based on the action plan The observations by my coach are focused and based on the action plan Strongly Agree The observations by my coach are focused and based on the action plan Somewhat Agree The observations by my coach are focused and based on the action plan Somewhat Disagree The observations by my coach are focused and based on the action plan Strongly Disagree The time spent on reflection and feedback is constructive and supportive The time spent on reflection and feedback is constructive and supportive Strongly Agree The time spent on reflection and feedback is constructive and supportive Somewhat Agree The time spent on reflection and feedback is constructive and supportive Somewhat Disagree The time spent on reflection and feedback is constructive and supportive Strongly Disagree I learned strategies and activities to use in my work as a teacher implementing the Pyramid Model I learned strategies and activities to use in my work as a teacher implementing the Pyramid Model Strongly Agree I learned strategies and activities to use in my work as a teacher implementing the Pyramid Model Somewhat Agree I learned strategies and activities to use in my work as a teacher implementing the Pyramid Model Somewhat Disagree I learned strategies and activities to use in my work as a teacher implementing the Pyramid Model Strongly Disagree Comments: Question Title * 7. Please choose the box that best describes your opinion of the coach after the coaching cycle: Strongly Agree Somewhat Agree Somewhat Disagree Strongly Disagree The coach was helpful in identifying effective strategies and tools The coach was helpful in identifying effective strategies and tools Strongly Agree The coach was helpful in identifying effective strategies and tools Somewhat Agree The coach was helpful in identifying effective strategies and tools Somewhat Disagree The coach was helpful in identifying effective strategies and tools Strongly Disagree The coach was effective in the delivery of the information The coach was effective in the delivery of the information Strongly Agree The coach was effective in the delivery of the information Somewhat Agree The coach was effective in the delivery of the information Somewhat Disagree The coach was effective in the delivery of the information Strongly Disagree I am using new strategies in my classroom I am using new strategies in my classroom Strongly Agree I am using new strategies in my classroom Somewhat Agree I am using new strategies in my classroom Somewhat Disagree I am using new strategies in my classroom Strongly Disagree Comments: Question Title * 8. Please respond to the following questions regarding this coaching cycle. Remember that this feedback is important to improve coaching practices. What do you do differently as a result of coaching? The best features of this coaching session were: Ideas for next steps that I will work on until the next session with my coach are: My suggestions for improving the coaching sessions are: Would you recommend this coaching to others? (Yes/No) Cost of this coaching cycle was/was not affordable: How many coaching sessions have you had with this coach? Other comments and reactions to the coaching experience you wish to offer: Question Title * 9. Can we contact you in the future to learn more about your experience? If so, please complete the boxes below: Name Email Address Done