Monthly Leadership Coaching Reflection

Monthly Leadership Coaching Reflection

Please complete this form after every Leadership Coaching session. The form should be completed by both the mentee and the coach.
Name*

First NameLast Name
Email*
example@example.com
Date of Coaching Session*

MonthDayYear
Date
Type of Meeting*
Which best describes you?*

Leadership Coach VolunteerCocoon Club Member
Which Leadership Coaching agenda was used during this session?*
Agree or Disagree: This month's coaching agenda was helpful in guiding my Leadership Coaching session.*

Strongly AgreeAgreeUndecidedDisagreeStrongly DisagreeN/A - No Agenda
Month 1: Which portions of the Month 1 agenda did you talk about during this coaching session? Check all that apply.*

Leadership IdentityLOVE Coaching FrameworkOur "Why" (i.e., why we joined Butterfly Dreamz)Leadership Coaching GoalsOther
Month 2: Which portions of the Month 2 agenda did you talk about during this coaching session? Check all that apply.*

Coaching Agreements (e.g. The 4 Agreements)Opportunities & Threats (Candace's scenario)Head, Heart, & Gut Decision-MakingSMART goals & GROW modelOther
Month 3: Which portions of the Month 3 agenda did you talk about during this coaching session? Check all that apply.*

Coaching Agreements (e.g. The 4 Agreements)Validating Girl Leaders (Validating Coco video)The Leadership JournalSMART goals & GROW modelOther
Month 4: Which portions of the Month 4 agenda did you talk about during this coaching session? Check all that apply.*

Coaching Agreements (e.g. The 4 Agreements)Leadership Portfolio BrainstormingSMART goals & GROW modelOther
Month 5: Which portions of the Month 5 agenda did you talk about during this coaching session? Check all that apply.*

Coaching Agreements (e.g. The 4 Agreements)Leadership Portfolio Gallery/ReflectionsButterfly Dreamz Scholarships ReviewGrowth & Gratitude ConversationSMART goals & GROW modelOther
Did you talk about any other topics during this coaching session? Check all that apply.*

School/AcademicsLife After High SchoolFamily/Home LifeFriends/RelationshipsWork/EmploymentSelf/Leadership DevelopmentMental Health & Well-beingOther
Did you talk about everything you hoped to talk about during the session?*

YesNoNot Sure
What do you think went well during this month's session?*
What do you think are areas for improvement?*
On a scale of 1 star (awful) to 5 stars (phenomenal), how well do you think your relationship is going with your mentee?*
On a scale of 1 star (awful) to 5 stars (phenomenal), how well do you think your relationship is going with your Leadership Coach?*
On a scale of 1 star (awful) to 5 stars (phenomenal), how well do you think your relationship is going with your Butterfly Dreamz Big Sister?*
Who have you received coaching or mentorship from this month outside of today's session?*

My Leadership Coach (not including today's session)Another Cocoon Club MemberButterfly Dreamz Staff MemberSomeone from my personal networkNo oneOther
Who have you received coaching or mentorship from this month outside of today's session?*

My Butterfly Dreamz Big Sister (not including today's session)Another Cleveland 7th or 8th grade girlAnother Cocoon Club MemberButterfly Dreamz Staff MemberSomeone from my personal networkNo oneOther

OPTIONAL: Do you need additional assistance from Butterfly Dreamz staff? If so, please describe what you needed additional assistance with:
Should be Empty:

	Strongly Disagree	Disagree	Undecided	Agree	Strongly Agree
In the last 30 days, I've made progress toward my goal(s).
In the last 30 days, I've developed new skills.
In the last 30 days, I've became more curious about other opportunities for growth.
Talking with my Leadership Coach today was beneficial.
Today's coaching session was good for my mental health and wellbeing.