Supervisor Feedback Reflection Form
Turn feedback into professional growth.
Feedback is only as valuable as the reflection it generates (Schön, 1983). Most professionals receive feedback, feel something about it in the moment, and then return to the same patterns unchanged. This form is designed to interrupt that cycle. It asks you to document the feedback you received, sit with what it means, and name one specific behavioral change you will make because of it. This is what reflective practice looks like in action (London, 2003).
Step 1 — Document the Feedback
Write down the feedback as specifically as you can remember it. Use the actual words if you recall them.
Step 2 — Reflect on the Meaning
Growth-oriented professionals treat feedback as information, not verdict (Dweck, 2006).
Step 3 — Name Your Change
Effective feedback response is behavioral commitment (London, 2003).
One Sentence to Carry Forward
Complete this sentence. Write it in your own voice.