House League Satisfaction Survey (Belleville Minor Hockey Association)

Player / Team Information

Your Name

Team^*

Required

Team Number^*

Required

Basic Satisfaction

Evaluate the degree to which you believe your player achieved on this team (5 being very much and 0 being none at all):

Had Fun

1
2
3
4
5

Learned the basics

1
2
3
4
5

Wants to continue

1
2
3
4
5

Additional Comments

Basic Development and Skills

Evaluate the degree to which you believe your child changed on the following characteristics using the following scale: 1 = Declined, 3 = No Change, 5 = Improved

Physical Fitness

1
2
3
4
5

Learning to co-operate

1
2
3
4
5

Self confidence

1
2
3
4
5

Developing self reliance

1
2
3
4
5

Learning specific skills

1
2
3
4
5

Leadership skills

1
2
3
4
5

Sportsmanship

1
2
3
4
5

Development of initiative

1
2
3
4
5

Competitiveness

1
2
3
4
5

Teamwork concept

1
2
3
4
5

Head Coach

How did the Head Coach do on the following items using the scale: 1 = Poor 2 = Weak 3 = Fair, 4 = Good, 5 = Excellent?

Name

Equitable ice time

1
2
3
4
5

Team discipline

1
2
3
4
5

Dressing room supervision

1
2
3
4
5

Equal enforcement of rules

1
2
3
4
5

Safety conscious

1
2
3
4
5

Organized practices

1
2
3
4
5

Team tactics and concepts

1
2
3
4
5

Effective teacher

1
2
3
4
5

Encouraged my child

1
2
3
4
5

Recognized my child

1
2
3
4
5

Parent communication

1
2
3
4
5

Was respected by my child

1
2
3
4
5

Favouring team staff children

1
2
3
4
5

Additional comments about the Coach

1 = Excellent, 2 = Good, 3 = Fair, 4 = Weak, 5 = Poor

Assistant Coach 1

How did the Assistant Coach do on the following items using the scale: 1 = Poor 2 = Weak 3 = Fair, 4 = Good, 5 = Excellent?

Assistant Coach Name (1)