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ONI WORK EXPERIENCE & Case Studies
Mobility Coach FEEDBACK
Your Name
*
First Name
Last Name
Your Mobility Coach's name
*
Please rate your Mobility Coach on the following
*
My Mobility Coach communicated very well with me
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
My Mobility Coach's explanations made sense
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
My Mobility Coach was knowledgeable
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
My Mobility Coach was respectful
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
My Mobility Coach made me feel heard
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
My Mobility Coach addressed my goals
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
It felt like my Mobility Coach genuinely cared
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I saw benefit in seeing my Mobility Coach
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
What goals did you set with your Mobility Coach?
*
How was progress towards these goals measured?
*
Did you feel like you achieved what you set out to with your Mobility Coach? Please explain
*
In your opinion, what did your Mobility Coach do well on?
*
In your opinion, what did you think your Mobility Coach should improve on?
*
Was there anything else you wish your Mobility Coach did or didn't do? Please explain
*
Would you recommend this Mobility Coach to your friends or family?
*
Yes
No
How much would you pay for this Mobility Coach per hour?
*
$70-$90 per 30 minute session
$50-$70 per 30 minute session
$30-$50 per 30 minute session
I wouldn't pay that much
Any additional feedback you'd like to leave for your Mobility Coach?
Thank you!