| Parent Feedback Form Roughrider Track & Field | |||||||
| A. Evaluate the degree to which you believe you changed on the following | |||||||
| characteristics: Circle one - (I) Improved, (NC) No Change, (D) Declined, (DK) Don't Know) | |||||||
| 1 | Physical fitness | I | NC | D | DK | ||
| 2 | Learning to Cooperate | I | NC | D | DK | ||
| 3 | Self-Confidence | I | NC | D | DK | ||
| 4 | Desire to continue laying the sport | I | NC | D | DK | ||
| 5 | Self-Esteem | I | NC | D | DK | ||
| 6 | Learning specific skills of this sport | I | NC | D | DK | ||
| 7 | Leadership skills | I | NC | D | DK | ||
| 8 | Sportsmanship | I | NC | D | DK | ||
| 9 | Learning to take initiative | I | NC | D | DK | ||
| 10 | Learning to compete | I | NC | D | DK | ||
| B. Evalutate hoy you feel the coach did on the following items: | |||||||
| (Circle one(E) Excellent, (G) Good, (SS) So-So, (W) Weak, (P) Poor, (DK) Don't Know) | |||||||
| 1 | Treated your son or daughter fairly | E | G | SS | W | P | DK |
| 2 | Kept winning in perspective | E | G | SS | W | P | DK |
| 3 | Took safety precautions | E | G | SS | W | P | DK |
| 4 | Organized practice/contests | E | G | SS | W | P | DK |
| 5 | Commnicated to you | E | G | SS | W | P | DK |
| 6 | Effective in teaching you | E | G | SS | W | P | DK |
| 7 | Encouraged your son or daughter | E | G | SS | W | P | DK |
| 8 | Recognized your child as a unique individual | E | G | SS | W | P | DK |
| 9 | Held your son's or daughter's respect | E | G | SS | W | P | DK |
| C. Please give an additional comments in the space below and on the back. | |||||||
| (prehaps you have some constructive criticism or praise you want to offer). | |||||||
| If you would ike a personal contact as a result of your concerns expressed by this | |||||||
| survey, please leave your name and contact number. | |||||||
| _____________________________________ | _________ | ||||||
| Parent signature | Date | ||||||