Dietary Leadership Feedback Form
Please provide your feedback on the leadership and effectiveness of our dietary/nutrition team or leader. Your input helps us improve our programs and services.
Your Full Name
*
First Name
Last Name
Your Email Address
*
example@example.com
Your Role or Relationship to the Dietary Leader/Team
*
Please Select
Team Member
Direct Report
Supervisor/Manager
Peer/Colleague
Client/Patient
Other
Name of the Dietary Leader or Team You Are Providing Feedback On
*
How would you rate the dietary leader's communication skills?
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Poor
1
2
3
4
Excellent
5
1 is Poor, 5 is Excellent
How effective is the dietary leader/team in decision-making?
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Ineffective
1
2
3
4
Highly Effective
5
1 is Ineffective, 5 is Highly Effective
How well does the dietary leader/team promote inclusiveness and respect?
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Needs Improvement
1
2
3
4
Outstanding
5
1 is Needs Improvement, 5 is Outstanding
How would you rate the dietary leader/team's knowledge of nutrition and dietary practices?
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Limited
1
2
3
4
Exceptional
5
1 is Limited, 5 is Exceptional
What are the key strengths of the dietary leader/team? Please provide specific examples if possible.
What areas could the dietary leader/team improve upon? Please provide suggestions.
Would you recommend this dietary leader/team to others?
*
Yes
No
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