Form Policy Academy Coa Policy Academy Coa Policy Academy Coach Post Coaching Form

OMB No. 0930-0316

Expiration Date: XX/XX/XXXX

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Policy Academy Coach Post-Coaching Call Form

Introduction

Thank you for completing the coaching call, please take a few minutes and share your feedback.

Personal Information

Q1. Coach name:

Q2. Email (please only enter one, even if more than one coach participated in the call):

Q3. Are you a lead coach or a coach in training?

• Lead coach

• Coach in training

Q4. Participant you worked with:

Q5. Month of coaching- call:

• January

• February

• March

• April

• May

• June

• July

• August

• September

• October

• November

• December

Participant Feedback

Q6. Policy step covered:

• Step 1 – Draft Policy Action Statement

• Step 2 – Engage Compliance Organizations

• Step 3 – Collect Data

• Step 4 – Develop Issue Brief

• Step 5 – Draft Policy Language

• Step 6 – Increase Public Awareness

• Step 7 – Organize and Mobilize Support

• Step 8 – Prepare & Present Policy for Adoption

• Step 9 – Support Implementation & Enforcement

• Step 10 – Evaluate

Q7. Describe what you discussed and progress made.

Q8. What went well?

Q9. What could have gone better?

Q10. What are two or three key points of feedback you provided?

Q11. What significant barrier(s) is/are the coalition facing?

Q12. How open is the coalition to feedback and coaching?

Q13. How would you describe the progress of the coalition?

Q14. What extra support or training do you think the coalition needs?

Q15. Is the coalition moving through the steps in an appropriate timeframe?

• Yes

• No

Q15.1. If no, what is preventing the coalition from moving through the steps in a timely manner? What could be done to remedy this?

The following section is only displayed for respondents who selected “coach in training” for question 3.

Q16. How useful are the coaching calls?

Q17. How ready do you feel you are to coach a policy step after watching the lead coach that step?

Q18. What has the lead coach done to support your learning process?

Q19. Do you have any unanswered questions about training the policy steps?

Q20. What other support do you need?

Thank You Page

We thank you for your time spent taking this survey. Your response has been recorded.