Cony High School
Athletic Department
The purpose of this survey is to give you and your teammates the opportunity to provide feedback to your athletic director about your experiences and feelings about being an athlete at Cony High School. 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. Circle or X which team level you were on: Freshman __ JV __ Varsity __
3. Circle or place an X next to your current grade: 9 __ 10 __ 11__ 12 __
4. Circle or place an X next to your gender: Male __ Female __
5. Circle or place an X next to the gender of your coach: Male __ Female __
6. Do you want this survey to be seen by your coach?
Yes ˙ (by checking Yes, this survey form will be presented as filled out. Please sign at the bottom of the form.)
No ˙ (by checking No, the answers on this survey form will be transcribed and your name will not be included for the coach to see.)
7. Did your coach review the athletic handbook with you? Yes __ No __
Please respond to the following questions by checking-off or writing an X under the column that best reflects your opinion.
Strongly Agree Neutral Disagree Strongly _Agree Disagree
8. I feel comfortable approaching my coach about issues
9. I feel that team rules are enforced consistently and fairly
10. My coach does an adequate job of scouting opponents.
11. Facilities for sports are clean and well-maintained.
12. Uniforms are relatively current.
13. Uniforms are in good condition .
14. Equipment is in good condition.
15. My coach has good knowledge of the sport.
16. My coach defines success by more than the win/loss record.
17. I feel like a real part of the team.
18. Practices are worthwhile (challenging & educational).
19. My coach treats all team members with respect.
20. Our team is well conditioned.
21. My coach discusses my progress & improvement with me.
22. My coach encourages me to succeed academically.
23. My coach emphasizes good sportsmanship.
24. My coach models appropriate behavior.
25. My coach listens to my opinion, when appropriate.
26. The coach uses reasonable judgement when dealing with
student/athlete scheduling conflicts.
27. Being a part of this team has been rewarding and satisfying.
28. Being a part of this team has been fun.
29. My coach is a good motivator.
Excellent Very Good Good Fair Poor
What do you think about…
30. the level of communication with your coach?
31. the intensity of the competitions?
32. your improvement since the season began?
33. your coach’s attitude toward players?
34. the type of training your coach emphasizes?
35. the intensity of practices?
36. your coach’s goals for you?
37. your coach’s goal for the team?
38. your overall experience with this team?
Very Moderately Not
Informed Informed Informed
I have been informed about the...
39. Athletic Handbook policies.
40. team rules.
41. travel procedures (i.e. itinerary, food, dress code).
42. rationale used to determine my participation.
during competitions.
Strongly Agree Neutral Disagree Strongly
_Agree Disagree
Being a part of this team has helped me to...
43. have a healthier lifestyle.
44. manage my time better.
45. set higher goals for myself.
46. be more dedicated.
47. think more clearly under stressful situations.
48. overcome adversity (injuries, less playing time, conflicts)
49. respect school rules, team rules and others.
50. be productively involved in the school and community.
51. become a positive role model.
52. make good decisions.
53. have a positive attitude.
54. develop leadership skills.
55. work cooperatively with others.
56. recognize contributions of others.
57. be a better student.
58. accept criticism without taking it personally.
59. deal with conflicts more effectively
60. be responsible for my actions (including body language).
Please use the space below for comments about your 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