APPRAISAL FEEDBACK FORM

To:  …………………………………………………………………………

………………  (member of staff) and ……………… (line manager) have agreed that it would be useful to get your feedback in order to help prepare for ………………’s annual appraisal.  You are asked to provide objective comments on what you have observed or experienced of their work in the last year.  Your comments must have evidence to back them up.  Please attach additional sheets where necessary.

 

Please return your feedback form to ……………… (line manager) by ……………….  (1 week before the appraisal meeting is planned to take place.)

OBJECTIVES or WORK AREAS

To help put ………………’s job into perspective, and assist you with your feedback, last year ………………’s objectives, or work areas included:

1.      …………………………………………………………………………………………………………….      …………………………………………………………………………………………………………….

2.      …………………………………………………………………………………………………………….      ……………………………………………………………………………………………………………

3.      …………………………………………………………………………………………………………….      …………………………………………………………………………………………………………….

(You may find it as helpful to attach the job description!)

 

REVIEWING PERFORMANCE

Briefly describe your working relationship with  ………………………………….,  over the last year.  What, in your opinion, did they do well and why?

 

 

 

 

 

 

 

 

/ please turn over

Were there any aspects of their work that, in your opinion didn’t go as well as expected?  What and why?

 

 

 

Do you have any observations on whether these objectives/work areas were achieved?

 

 

 

LOOKING AHEAD

Do you envisage that you will require advice/assistance from them again in the coming year? Please provide specific examples of work areas.  What particular skills and experience are you looking for?  (This will help with their training plan for the year).

 

 

 

 

 

 

 

 

Anything else you wish to add?

 

 

 

 

 

Signed: ………………………………….               Job title / Position: ………………………………

Date:    …………………………………..

 

It is not the intention for this form to be shown to the Appraisee.  The Appraiser will summarise the feedback from all sources during the course of the appraisal discussion.