At Relief Nursing Agency we value both positive and negative feedback as we believe that it is important in the professional development of our staff. All feedback is thoroughly investigated and the issues discussed with the staff member concerned.

Feedback is also used to assist in the development of our training programs with issues frequently highlighted to all relevant staff to prevent future reoccurrence.

We appreciate you taking the time to provide feedback today.


Staff Appraisal Form

Please complete all fields marked with an asterix (*)

Facility Name *
Person Lodging Appraisal *
Email *
Phone *
Relief Staff Member *
Position: *
Shift Date *(dd/mm/yyyy)
Shift_type: *
Punctuality *  
Dress Code *  
Interaction with residents *  
Clinical knowledge *  
Medication administration *  
Time management *  
Use of initiative *  
Communication skills *  
Cooperation with staff *  
OH&S Policy *  

Do you agree to this member working at your facility again in the future? *


Have you raised the above with the Relief staff member? *

Discussion Comments
Thank you for your feedback. All issues will be addressed promptly.
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