Dive Into a Coach Approach® 1.0 with Medbridge

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What is your professional designation?* This field is required.
Occupational Therapist (OT)
Physiotherapist / Physical Therapist (PT)
Speech-Language Pathologist (SLP)
Kinesiologist / Rehab Assistant / Athletic Trainer
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What is your professional designation not found on the above drop down menu?* This field is required.
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How many years have you been practicing in the above profession?* This field is required.
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Have you had any prior coaching training before this course?* This field is required.
YESNO
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I consent to the use of my anonymous responses in research on Coach Approach training effectiveness. My responses will be de-identified before analysis.* This field is required.
YESNO
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By clicking YES below, I confirm that I have completed all eight Dive Into a Coach Approach® courses. I understand that I am responsible for keeping a copy of my certificate of completion should I choose to apply for coaching accreditation in the future.* This field is required.
YESNO
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Completion Date – Course 1: Coaching Fundamentals in Healthcare* This field is required.
Date
Year
Month
Day
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Completion Date – Course 2: Building Clarity: Defining the Coaching Process* This field is required.
Date
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Day
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Completion Date – Course 3: Listening & Mindset: Applying the Foundations* This field is required.
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Day
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Completion Date – Course 4: Diving Deeper: Understanding the Client’s Perspective* This field is required.
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Completion Date – Course 5: Exploration in Action: Guiding Clients Toward Solutions* This field is required.
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Day
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Completion Date – Course 6: Summing Up & Taking Action* This field is required.
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Day
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Completion Date – Course 7: Bringing It All Together: Coaching Framework and Application* This field is required.
Date
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Month
Day
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Completion Date – Course 8: Laser-Focused Coaching * This field is required.
Date
Year
Month
Day
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I understand and hereby acknowledge that I have been granted a limited license to use the tools provided in this course to support my clients or patients only. As per the legal notice in the Workbooks. I am also understand and hereby acknowledge that I have no right to use any part of the Materials to educate other persons or in any presentations.* This field is required.Thank you for respecting the integrity of the materials and the intention behind them.
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Rate your knowledge of coaching in healthcare BEFORE this training.* This field is required.
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Rate your knowledge of coaching in healthcare AFTER this training.* This field is required.
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Will you use what you learned in this course in your work?* This field is required.
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Definitely not
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Probably yes
Definitely yes
Not applicable—I did not learn anything new from this course
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What factors will keep you from using the content of this course in your work? (Select all that apply)* This field is required.
I need additional training in the subject matter
I will not have the resources I need
My current role does not include opportunities to use coaching skills with clients or patients
I will not have the time to use what I learned
My supervisor will not support me in using what I learned
My colleagues will not support me in using what I learned
The course content is not relevant to my current work
I am unsure whether using a Coach Approach falls within my professional scope of practice
Other (please specify): _________________
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Please specify other factors that may keep you from applying what you learned:* This field is required.
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What, if anything, do you plan to use from this course in your practice?* This field is required.
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What were your key takeaways from this training?* This field is required.
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What is ONE word that encapsulates the value of this training and your intention moving forward?* This field is required.
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Please rate the following elements of the training* This field is required.1 = Not satisfied and 10 = Very satisfied
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The Instructor
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If you rated any element "6" or below, please share with us what would you like to see in a future edition of this training?
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How likely are you to recommend this training to a friend or colleague?* This field is required.
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What would you say to a colleague who's considering this training?* This field is required.
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We'd love to spotlight your voice to inspire others in healthcare. If you're open to sharing a testimonial or being featured:* This field is required.
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Thank you for your support in amplifying this work in the healthcare field. Please share with us a headshot picture so we can feature you.
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Would you like to receive new tools, resources, and tips to grow your coaching skills in healthcare?By selecting “Yes,” you’ll receive occasional updates including access to the Coaching Tools for Healthcare bundle (required to complete Level 1) and other curated content designed to help you apply a coach approach in your healthcare practice.
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Is there anything else you would like to share with us? ❤️
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We are conducting ongoing research on the long-term impact of coaching training on clinical practice. We'd like to follow up with you in 6 months with a short survey (5–7 minutes). Your participation is entirely voluntary and your responses will be kept confidential. Your name will not be shared in any published findings.* This field is required.
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