Cony High School
Athletic Department
The purpose of this survey is to give you the opportunity to provide feedback to the athletic director about your experiences and feelings about your child’s team. This form will remain confidential unless permission to the contrary is granted. Please mark your answers by filling in the appropriate lines.
1. What sport is being evaluated? __________________________ Which coach is being evaluated? ____________________________
2. What level? Freshman __ JV __ Varsity __
3. What grade is your child in? 9 __ 10 __ 11__ 12 __
4. What is your child’s gender? Male __ Female __
5. What is the coach’s gender? Male __ Female __
6. Did you participate in sports during high school or college? Yes __ No __
7. If yes to the previous question, in what role(s): High school athlete __ College athlete __ School coach __
Recreational athlete __ volunteer coach __ official __
8. Do you want your survey to be seen by your son’s/daughter’s coach? yes __ no __
9. What percentage of games/matches/meets did you attend? 0-25% __ 26-50% __ 51-75% __ 76-100% __
10. Did you attend a pre-season event (meeting, Meet the Teams, etc.)? yes __ no __
11. Have you communicated directly with the coach about matters pertaining to your child? yes __ no __
Please respond to the following questions by placing a check or X under the column that best reflects your opinion.
Strongly Agree Neutral Disagree Strongly No basis for
_Agree Disagree judgment_____
12. The coach is approachable.
13. The coach is concerned about my child’s academic progress.
14. Facilities for sports are clean and well-maintained.
15. Playing facilities are adequate and safe.
16. The coach is a positive role model for my child.
17. The coach has good knowledge of the sport.
18. The coach defines success by more than the win/loss record.
19. The coach allows injured players to recover from injuries.
20. The coach respects my child.
21. The coach treats all members with respect.
22. The coach uses reasonable judgment when dealing with
student/athlete scheduling conflicts.
No basis for
Excellent Very Good Good Fair Poor judgment _
What do you think about:
23. your child’s level of communication with the coach?
24. the intensity of the competitions?
25. your child’s improvement since the season began?
26. your child’s overall experience with this team?
Very Moderately Not No basis for
Informed informed informed judgment__
I have been informed about the:
27. coach’s philosophy.
28. practice times.
29. Athletic Handbook policies.
30. team rules.
31. travel procedures (i.e. itinerary, food, dress code).
32. rationale used to determine my child’s participation
during competitions.
Strongly Agree Neutral Disagree Strongly No basis for
_Agree Disagree judgment__
Being a part of this team has helped my child to:
33. have a balanced lifestyle.
34. have higher aspirations.
35. be more dedicated.
36. think more clearly under stressful situations.
37. overcome adversity (injuries, less playing time, conflicts).
38. respect school and team rules.
39. be productively involved in the school and community.
40. set personal goals.
41. become a positive role model.
42. make good decisions.
43. have a positive attitude.
44. develop leadership skills.
45. work cooperatively with others.
46. recognize contributions of others.
47. be a better student.
48. accept criticism without taking it personally.
49. manage his/her time better.
50. communicate his/her ideas.
51. be responsible for his/her actions (including body language).
What information did you consider when answering these questions? (Check or X all that apply)
__ Information from my child
__ One-on-one conversation with the coach
__ One-on-one conversation with the Athletic Director
__ One-on-one conversation with other school personnel
__ One-on-one conversation with other athletes’ parents
Please use the space below for comments about your child’s overall experience (attach separate sheet if needed).
Signature:_________________________________________________________ Date:_________________________
Please return form to: Dan Bowers, Athletic Director - Cony High School – 120 Cony Street, Augusta, ME 04330 Email: dbowers@augustaschools.org