Coaching and Feedback Activity Checklist
Complete this checklist to track coaching session activities and capture feedback for follow-up.
Session Date
*
-
Month
-
Day
Year
Date
Coach Name
*
Participant Name
*
Session Type
*
One-on-One
Group
Virtual
In-Person
Other
Key Topics or Goals Addressed
*
Coaching Activities Completed (Select all that apply)
*
Goal Setting
Skill Demonstration
Role Play
Observation and Feedback
Action Planning
Follow-Up Discussion
Other
Participant Engagement Level
*
Highly Engaged
Moderately Engaged
Minimally Engaged
Observed Strengths
Areas for Improvement
Overall Session Effectiveness
*
1
2
3
4
5
Submit
Should be Empty: