Agile Coach Assessment Questionnaire Form
Evaluate an Agile Coach's competencies, working style, and overall impact using a clear, modern assessment form.
Assessment Overview
Assessable Person Full Name
*
First Name
Middle Name
Last Name
Role or Team Context
*
Assessor Name
*
Assessment Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Primary Assessment Context
*
Team Coaching
Leadership Coaching
Transformation Support
Agile Team Facilitation
Other Agile Coaching Context
Agile Coaching Competency Assessment
Facilitation Effectiveness
*
Very Weak
1
2
3
4
Excellent
5
1 is Very Weak, 5 is Excellent
Coaching Presence and Listening
*
Very Weak
1
2
3
4
Excellent
5
1 is Very Weak, 5 is Excellent
Stakeholder Alignment
*
Very Weak
1
2
3
4
Excellent
5
1 is Very Weak, 5 is Excellent
Impediment Removal Support
*
Very Weak
1
2
3
4
Excellent
5
1 is Very Weak, 5 is Excellent
Agile Mindset Promotion
*
Very Weak
1
2
3
4
Excellent
5
1 is Very Weak, 5 is Excellent
Change Adoption Support
*
Very Weak
1
2
3
4
Excellent
5
1 is Very Weak, 5 is Excellent
Working Style and Impact
Behavior Frequency Assessment
*
Rows
Never
Rarely
Sometimes
Often
Always
Clear communication
1
2
3
4
5
Collaborative problem solving
6
7
8
9
10
Quality of feedback
11
12
13
14
15
Adaptation to team needs
16
17
18
19
20
Overall effectiveness rating
*
1
2
3
4
5
Development Notes
Strengths Observed
*
Improvement Areas or Support Needed
*
Recommendation
*
Continue in current role
Receive development support
Reassess later
Submit Assessment
Should be Empty: