Referee Recognition Survey

Use this form to provide feedback on referees, positive or constructive. Your comments and ratings will be kept anonymous. Your name or team name is only required if you want to be entered into the prize drawing. You will be entered into a drawing every time you submit feedback.

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* 1. Teams that played (we need this info to help identify the ref crew).

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* 2. Game Date

Date

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* 3. Field

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* 4. For which referee are you providing feedback? Select all that apply.

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* 5. On a scale of 0-10, how would you rate the professionalism of the referee? (Appearance, start and stop of game, communication between the crew, etc.)

0 10
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i We adjusted the number you entered based on the slider’s scale.

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* 6. On a scale of 0-10, how well did the referee manage the game? (kept players under control, physicality was appropriate for level, engaged players and coaches in a professional way)

0 10
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i We adjusted the number you entered based on the slider’s scale.

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* 7. On a scale of 0-10, how positive was the referee's interactions with the players and coaches? (Explained calls to players and coaches as needed, provided instruction as needed, etc.)

0 10
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i We adjusted the number you entered based on the slider’s scale.

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* 8. Additional Comments. For example, did a particular behavior stand out to you that you want to call out as an example of your ratings? Please give examples to support your ratings.

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* 9. Your Name or Team Name (for purposes of prize drawing only).

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