Remote Work Feedback Check-in Form
Please complete the Remote Work Feedback Check-in Form to share your weekly experiences and insights as a remote team member.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Week of Check-in
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
What were your main accomplishments or highlights this week?
*
Did you encounter any challenges or blockers?
How would you rate your overall satisfaction with your remote work experience this week?
*
1
2
3
4
5
How supported do you feel by your manager and team?
1
2
3
4
5
What are your main goals or priorities for next week?
Do you have any suggestions for improving our remote work processes?
Submit Check-in
Should be Empty: