Leaders Listen to Learn

Leaders Listen to Learn Employee Feedback Form

Site *

Department *

Date *

Conversation Length

Supervisor Name *

Employee Name *

Employee ID

Employee Type *

Conversation Duration *

Less than 30 minutes

30–45 minutes

46–60 minutes

More than 60 minutes

1. Did you feel the supervisor listened to you? *

Yes

Somewhat

2. Did you feel comfortable and respected during the conversation? *

Yes

Somewhat

3. Did the conversation help you get to know your supervisor better? *

Yes

Somewhat

4. What did you like most about the conversation?

5. What could improve future Listen to Learn conversations?

6. Is there anything you would like leadership to know?

Overall experience: *

Excellent

Good

Fair

Poor

Would you recommend continuing these conversations? *

Yes

Important: This feedback is intended to improve the Listen to Learn experience. It should not be used for attendance, discipline, or performance evaluation. Capture broader themes without connecting individual names to concerns or proposed solutions.