Assessment Feedback Form

This feedback form is for you to give to people who know you well; their feedback will be important as you seek to understand yourself and how God has created and gifted you.

The purpose of this assessment is for the seeker to search out feedback for themselves and gain a deeper understanding of their strengths/passions/gifts and areas for improvement. With this insight, the feedback seeker will be better able to grow in the use of the gifts and strengths God has enabled them with. Additionally, they will be in a position to grow and develop the areas that are perceived as areas for improvement.

As the feedback giver, you are being asked to provide some thoughtful, reflective responses to the questions given. Please take your time, considering and asking God to help you remember and discern accurate responses to the following questions about the feedback seeker. Please describe and illustrate with concrete examples when possible.


Feedback seeker _______________ Feedback giver __________________

Date (w/year) _______________ Please return by __________________


1. List and describe 3 or more things that you believe this person is good at (i.e. this person is really good at speaking in large group settings; this person is great at organizing fun activities; this person always seems to make people happy when they are around; this person seems to know a lot and be able to explain their views well......etc.).












2. List and describe 2 to 3 actions this person could take to improve in some areas that they are not strong in (remember, the purpose is to help this person grow, so please be loving, constructive and specific).










3. List and give examples of 2 or more things that you know this person is passionate about, things that get them energized and motivated to the point of action.


4a. Please read through the list of gifts below and circle each one that you think the Holy Spirit has given the feedback seeker. In the line next to each gift you circle, note how certain you are on a scale of 5 (see below for scale details).

4b. Please illustrate & provide examples for why you feel the way you do about the gifts you identified.

Scale:
5 I have definitely seen this in action. It is consistently demonstrated & with power.
4 I have seen this gift in action. I believe it will be more consistently demonstrated with power.
3 It seems that God has gifted you in this area. I have seen it demonstrated, but inconsistently.
2 I have either seen it demonstrated on occasion or strongly feel like this is a potential gifting.
1 I have a hunch that this is something God has gifted you with, but there is little to go on, yet!

Administration ____
Apostle/Mission ____
Craftsmanship ____
Creative
Communication ____
Deliverance ____
Discernment ____
Encouragement ____
Evangelism ____
Faith ____
Giving ____
Healing ____
Helps ____
Hospitality ____
Intercession ____
Interpretation ____
Knowledge ____
Leadership ____
Mercy ____
Miracles ____
Pastor/Shepherd ____
Prophecy ____
Teaching ____
Tongues ____
Wisdom ____
Other________ ____
Other________ ____ *Now, go back and underline the gifts that God had given you.