NOTE: Please complete as much of this Coach Evaluation Form as you can. The information you supply will be of great importance to the final recruitment process for this Coach.

Coach's surname	*
Coach's first name	*
Coach's nickname (if any)
Relationship to Coach	*	Coach Together Friend Family Member From same club Have been coached by him/her Have seen them coach Work Together Selector Other
Other - please specify
How long have you know the Coach?	*	Please select... Less than 1 year 1-3 years 3-5 years 5-10 years Greater than 10 years
What level have you experienced / witnessed this person coaching?	*
What are his/her Coach's strengths?	*	Aggressive Assertive Clear Direction Confident Controversial Creative Delegates Well Disciplined Dominant Former Player Goal Orientated Handles Pressure Well Hard Working Highly Experienced Honest Incompetent Independent Inexperienced Innovative Insightful Knowledgeable Lacks Authority Lazy Manipulative Motivating Not a Team Player Open to Change Passionate Poor Time Management Professional Quiet Relies on Support Team Resourceful Respected Selfish Team Focused Text Book Method Uninspiring Unreliable Untrustworthy Versatile Visionary Wealth of Knowledge Well Spoken Works Well With Others
What would you rate this Coach out of 10? (10 being world's best Coach)	*	0 1 2 3 4 5 6 7 8 9 10
In your own words, can you give us some valued insight into this Coach?	*
Would you recommend this coach for a professional or semi professional position? (If yes, please tell us why)	*
Are you a qualified rugby official?	*	Yes No I have been
If yes, what is your qualification?
Are you happy for us to pass this information on to a third party?	*	Yes No Please contact me before you release this information
Do you have any additional comments you may like to add?
Your name	*
Your email address	*
Your phone number
Today's Date	*
Security Code	*
-------------------------------------- THANK YOU FOR TAKING THE TIME TO COMPLETE THIS SURVEY!--------------------------------------