One-on-One Feedback Checklist Form
Please complete this form to provide structured feedback from your one-on-one meeting. Your insights will help improve future meetings and action planning.
Your Name
*
First Name
Last Name
Name of Other Participant
*
First Name
Last Name
Date of Meeting
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Topics Discussed
*
Performance
Career Development
Goals & Progress
Challenges
Feedback
Other
What went well during this meeting?
*
Areas for Improvement
*
Action Items or Next Steps
*
Overall Satisfaction with the Meeting
*
1
2
3
4
5
Would you recommend any changes to future meetings?
*
Yes
No
Additional Comments
Submit Feedback
Should be Empty: