Register for #LookingAfterYourTeam and Book your first session

Email

Confirm Email

First Name

Family Name

Please provide a mobile phone number to allow us to send you reminder SMS messages before each session. Your coach may also use this to communicate with you in the event of problems at the time of the session, so if you don’t have a mobile, please enter a suitable phone number.

Mobile Number

In order to help us assess and encourage usage, please can you provide the following:

Your NHS Region

Your role – EXPAND the sections below and tick all that apply

Where did you hear about #LookingAfterYourTeam?

Equality and Diversity

We hold the principles of equality and inclusion at the heart of everything we do and all that we stand for.

Please provide as much information as you are comfortable with about yourself. Our privacy policy explains more about how we use and manage your data.

What is your ethnic origin?

What is your gender?

Male

Female

I do not wish to disclose

Marital Status

Age Group

What is your religion or belief (including non-belief)?

Do you consider yourself to be disabled?

Yes

No

I do not wish to disclose

What is your sexual orientation?

Evaluation Questions

To help your coach understand your current state of wellbeing, the current team dynamics and to help us measure the impact of the coaching programme, there are a number of statements below to answer. Your responses to these questions will be anonymised and aggregated when used for evaluation purposes.

Thinking About You

Please rate how often each of the following statements has applied to you over the last two weeks:

I’ve been able to make up my own mind about things

I’ve been thinking clearly

I’ve been dealing with problems well

I’ve been feeling close to other people

I’ve been feeling optimistic about the future

I look for creative ways to alter difficult situations

Regardless of what happens to me, I believe I can control my reaction to it

I believe I can grow in positive ways by dealing with difficult situations

I actively look for ways to replace the losses I encounter in life

Please indicate to what degree you agree with the following statements in relation to the last two weeks:

Is your work emotionally exhausting?

Do you feel burnt out because of your work?

Does your work frustrate you?

Please indicate how often the following statements have applied to you in the last two weeks:

Thinking About Your Team

The following questions are asking about the way your team works together. When answering these questions please think about the group of people you work with supporting the delivery of patient care. Please indicate how much you agree or disagree with the statement as an accurate description of how your team works:

This team knows how to cope with challenges

This team can cope with difficult periods of time

This team knows how to handle difficult situations when we face them

The following questions are asking about the way your team works together. When answering these questions please think about the group of people you work with supporting the delivery of patient care. Thinking about your team, please indicate how much you agree or disagree with the statement as an accurate description of your usual behaviour and approach of your team:

We can openly discuss how we feel about the way our team is working together

We can describe how our team needs to work together to be effective

We are continually aware of how effectively our team is working together

We are conscious of how we communicate with each other in our team

We talk about the way we prefer to interact in our team

As team members we notice how we behave and respond to each other

The following questions are asking about the way your team works together. When answering these questions please think about the group of people you work with supporting the delivery of patient care. The following questions are asking about the way your team works together. When answering these questions please think about the group of people you work with in supporting the delivery of patient care. Thinking about your team, please indicate how much you agree or disagree with the statement as an accurate description of your usual behaviour and approach of your team:

We notice how our emotions affect the way we work with each other

We can put difficult or upsetting team situations and problems behind us quickly

When we work together as a team, we are fully focused on our shared activity

When we work on our own tasks, we always remain aware of how our wider team is working

When a difficult situation arises in our team we pause before we react

When we are working as a team on a task we sometimes lose focus because we are distracted or doing things without full attention

Thinking About Your Job

The following questions are asking about your plans for the future. When answering these questions please think about how you generally feel about your intent to leave your current role:

I often think about leaving this organisation

I will probably look for a job at a new organisation in the next 12 months

As soon as I can find another job, I will leave this organisation

Is there anything else that you wish to share with your coach:

In order to work with us you need to give us permission to hold your data. Please see our detailed privacy policy for more details of how we use and manage your data. We will only share data with the organisations directly involved in delivering this programme.

I accept

Our team will be accessing your personal information anonymously and in an aggregated form to evaluate the impact of this programme. Please confirm you are willing to accept this.