Colleague feedback questionnaire

A digital illustration of a diverse group of healthcare professionals collaborating in a clinical environment, with clipboards and medical charts, showcasing teamwork and communication in medicine.

Colleague Feedback Questionnaire

Welcome to the Colleague Feedback Questionnaire! This quiz is designed to gather valuable insights about a doctor's performance in various key areas of clinical practice.

Key Features:

  • Assess clinical skills and decision-making
  • Evaluate communication and teamwork
  • Provide constructive feedback for professional development
24 Questions6 MinutesCreated by EvaluatingExpert547
Date:
1 Clinical knowledge
Poor
Less than satisfactory
Satisfactory
Good
Very good
Don’t know
2 Diagnosis
Poor
Less than satisfactory
Satisfactory
Good
Very good
Don’t know
3 Clinical decision making
Poor
Less than satisfactory
Satisfactory
Good
Very good
Don’t know
4 Treatment (including practical procedures)
Poor
Less than satisfactory
Satisfactory
Good
Very good
Don’t know
5 Prescribing
Poor
Less than satisfactory
Satisfactory
Good
Very good
Don’t know
6 Medical record keeping
Poor
Less than satisfactory
Satisfactory
Good
Very good
Don't know
7 Recognising and working within limitations
Poor
Less than satisfactory
Satisfactory
Good
Very good
Don’t know
8 Keeping knowledge and skills up to date
Poor
Less than satisfactory
Satisfactory
Good
Very good
Don’t know
9 Reviewing and reflecting on own performance
Poor
Less than satisfactory
Satisfactory
Good
Very good
Don’t know
10 Teaching (students, trainees, others)
Poor
Less than satisfactory
Satisfactory
Good
Very good
Don’t know
11 Supervising colleagues
Poor
Less than satisfactory
Satisfactory
Good
Very good
Don’t know
12 Commitment to care and wellbeing of patients
Poor
Less than satisfactory
Satisfactory
Good
Very good
Don’t know
13 Communication with patients and relatives
Poor
Less than satisfactory
Satisfactory
Good
Very good
Don’t know
14 Working effectively with colleagues
Poor
Less than satisfactory
Satisfactory
Good
Very good
Don’t know
15 Effective time management
Poor
Less than satisfactory
Satisfactory
Good
Very good
Don’t know
16 This doctor respects patient confidentiality
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
Don’t know
17 This doctor is honest and trustworthy
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
Don’t know
18 This doctor’s performance is not impaired by ill health
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
Don’t know
19 This doctor is fit to practise medicine
Yes
No
Don’t know
20 Please add any other comments you want to make about this doctor
21 What is your role?
Doctor
Registered Nurse
Health Care Assistant
Allied Healthcare Professional
Health Visitor/Midwife
Administrator/Receptionist/Secretary
Non-clinical Manager
Pharmacist
Other
22 How recently have you been familiar with this doctor’s practice?
Current colleague
Within the last 2 years
2 - 5 years ago
6 - 10 years ago
10+ years ago
23 How often do you have contact with the doctor?
Most days
Weekly
Monthly
Less often
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