Date: <today’s date>
From: <person being evaluated>
Subject: Performance Feedback
I would appreciate receiving your collective assessment of my performance during the past twelve
As your <supervisor>, <colleague>, <service provider>, <customer>, I need to know how well I am
meeting your expectations. I encourage you to be honest and candid.
<Coordinator’s name> will be contacting you with instructions. Thank you in advance for your
cc: <coordinator’s name>