Reflective Questionnaire Templates

List of templates used for appraisees' reflections on the Core Elements

The list of reflective templates below is designed to aid the appraisee in their reflections on supporting evidence they wish to submit for their appraisal.  For further guidance, please consult your appraiser.

Please also check out the Toolkits section for further support.

Whilst you are asked to reflect on your supporting information, you are NOT expected to use every template offered below! Only those you wish to use and applicable to your needs (you may have documented your reflections elsewhere in the appraisal forms).  Remember, the templates are there to aid you as additional supporting information, they are NOT mandatory.

To use the templates, click on the appropriate link.  You will be prompted either to open or save the file (.rtf).  We recommend you save the file to your computer first, otherwise it may get lost in the temporay folders.  Once the template has been saved you should be able to navigate to the folder you saved it to, and open it.

The templates are in .rtf format, so will work with both PC and Mac users.  Only thing to ensure is when you have finished filling in the reflections, make sure you save it in the .rtf format instead of other platform specific formats (e.g. .pages, .docx etc).

Once you have completed your reflections, save the file and upload it as part of your supporting information to Form 3.

Related Documents

Learning Log sample (macro-less version) | File Size: 41.5 KB | Date Updated: 12/10/2017

An online CPD log has been added to SOAR so you can enter your CPD entries directly, rather than using this spreadsheet. However, if you wish to use the spreadsheet instead, please note the following instructions: This Excel spreadsheet is designed to help the user record their Learning Activities throughout the year. Save this spreadsheet to your computer (right-click > Save target as) and work on this as you go throughout the year. Upload the final version to SOAR when the time comes for your appraisal. Make sure you check the worksheet "Examples and Tips" for guidance. Although originally designed specifically for GPs, it can also be used by consultants (just ignore the impact scoring).

Quality of Work Reflection (D1) | File Size: 555.53 KB | Date Updated: 12/10/2017

This template is designed to aid the user to reflect on the quality of their work.

Quality Improvement Activity (QIA) Reflection (D2) | File Size: 561.55 KB | Date Updated: 12/10/2017

Use this template to reflect on the Quality Improvement Activity (QIA) you have submitted.

Significant Event Reflection (D2) | File Size: 560.96 KB | Date Updated: 12/10/2017

This template is designed to aid the user to reflect on a Significant Event they wish to discuss for their upcoming appraisal.

MSF Reflection (D3) | File Size: 564.26 KB | Date Updated: 12/10/2017

This template is designed to aid the user to reflect on a Multi Source Feedback (MSF) survey they wish to discuss for their upcoming appraisal.

Working with Colleagues (D3) | File Size: 569.06 KB | Date Updated: 12/10/2017

This template is designed to aid the user to reflect on some practices and experience in Working with their Colleagues (usually in lieu of MSF).

Working with Colleagues (Work Shadowing) | File Size: 376.92 KB | Date Updated: 12/10/2017

Inter-professional work shadowing is increasingly being recognised as an excellent opportunity to improve working across the interfaces of care by improving relationships, communication and understanding of each other’s roles and processes. This template is designed to support the reflective learning associated with planning and writing up this quality improvement activity.

Patient Survey Reflection (D3) | File Size: 562.14 KB | Date Updated: 12/10/2017

This template is designed to aid the user to reflect on a recent Patient Survey they wish to discuss for their upcoming appraisal.

Patient and Carer Involvement (D3) | File Size: 560.94 KB | Date Updated: 12/10/2017

This template is designed to aid the user to reflect on some practices and experience involving Patients and Carers for their upcoming appraisal (usually in lieu of Patient Surveys).

Maintaining Trust (D4) | File Size: 588.84 KB | Date Updated: 12/10/2017

This template is designed to aid the user to reflect on any issues surrounding Trust.

Quality of Work Reflection for OOH doctors (D1) | File Size: 81.5 KB | Date Updated: 12/10/2017

This template is designed to aid Out of Hours doctors to reflect on the quality of their work.

Working with Colleagues for Sessional GPs | File Size: 34.5 KB | Date Updated: 12/10/2017

This module is intended to allow you to review your methods for handling the issues that may arise, and to reflect on any difficulties you may have faced, and the ways in which you might deal with them.



This page was last updated on: 15/05/2015