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Free form template · Word

Performance Feedback Form

A performance feedback form helps a manager give timely, specific feedback on a piece of work or behaviour, outside the formal appraisal. It uses the Situation–Behaviour–Impact (SBI) model so both positive and developmental feedback are concrete, and closes with agreed next steps.

  • Editable Word (.docx)
  • Made for India
  • 18 fill-in fields highlighted
  • Free, no sign-up

Preview of the form

[Highlighted] = fill in
[Company Logo][Company Name]

PERFORMANCE FEEDBACK FORM

Company:
[Company Name]
Date:
[Date]
Feedback Given By:
[Reporting Manager]
Employee Name[Employee Name]
Employee ID[Employee ID]
Designation / Department[Designation] / [Department]
Feedback type: Recognition / Development / Both

Feedback (Situation – Behaviour – Impact)

ElementDescription
Situation – when and wheree.g. Client review meeting with [Client] on [DD/MM/YYYY]
Behaviour – what the employee did or said[Observed behaviour]
Impact – the result for the team, customer or business[Impact]

Rating of This Work / Behaviour

RatingLabelDescription
4ExemplaryPerformance well above the standard in every area reviewed
3ProficientSolid, reliable performance at the expected standard
2DevelopingProgressing, but support is still needed in some areas
1Below StandardPerformance is not yet acceptable for the role
Rating (1–4)[Rating]

What to Continue

[Specific strengths to keep using]

What to Do Differently

[Specific, practical suggestion for next time]

Employee Response

[Employee Comments]

Agreed Next Steps

Next StepBy WhenSupport
[Step 1][DD/MM/YYYY][Support]
[Step 2][DD/MM/YYYY][Support]
Employee
[Employee Name]
Date: [Date]
Manager
[Reporting Manager]
Date: [Date]

What this template includes

  • Feedback type: recognition or development
  • SBI structure for clear, factual feedback
  • Quick four-point rating of the work or behaviour
  • Employee’s response section
  • Agreed next steps
  • Date and signatures for the record

When to use it

  • Giving feedback soon after a project, event or customer interaction
  • Recognising excellent work in writing
  • Addressing a recurring behaviour before it becomes a bigger issue
  • Building a record of feedback during the year for the appraisal

How to customise this template

  1. 1Use one form per situation to keep feedback focused
  2. 2Delete the rating if you prefer narrative-only feedback
  3. 3Add a section for customer or stakeholder quotes
  4. 4Save completed forms in the employee’s review folder

HR tips

  • Give feedback within a week of the event
  • Describe behaviour you saw, not assumptions about intent
  • Balance: record recognition as often as development points
  • Ask the employee for their view before agreeing next steps

For HR & hiring managers

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Frequently asked questions

What is the SBI feedback model?+

SBI stands for Situation, Behaviour, Impact. You describe when and where it happened, what the person did and the effect it had.

How often should managers give performance feedback?+

Feedback works best when given regularly and close to the event, not saved for the annual appraisal.

Should feedback be written down?+

Significant feedback, positive or developmental, is worth recording briefly so it can be referenced in reviews.