One-on-One Feedback Session Form
Please complete this form to document and share structured feedback from your one-on-one session.
Your Full Name
*
First Name
Last Name
Your Role/Position
*
Name of Feedback Recipient
*
First Name
Last Name
Recipient's Role/Position
*
Session Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Type of Feedback Session
*
Performance Review
Development Discussion
Project Feedback
Peer-to-Peer Feedback
Other
Topics Discussed
*
Communication Skills
Collaboration & Teamwork
Problem Solving
Leadership & Initiative
Time Management
Other
Please rate the following aspects of the recipient's performance:
*
Rows
Excellent
Good
Average
Needs Improvement
Communication
1
2
3
4
Collaboration
5
6
7
8
Problem Solving
9
10
11
12
Initiative
13
14
15
16
Accountability
17
18
19
20
Overall Feedback Rating
*
1
2
3
4
5
Strengths Observed (What went well?)
*
Areas for Improvement (What could be better?)
*
Agreed Action Items or Next Steps
Additional Comments or Suggestions
Submit Feedback
Should be Empty: