Football NSW · PlayFootball

Assistant Referee Feedback Form

Assistant Referee Feedback Form

For Referee Mentors

Referee Name*
First Last
Game Date*
Date Format: MM slash DD slash YYYY
Home Team*
Away Team*
Competition/Grade*
Venue*
Degree of Difficulty*
Degree of difficulty of the Match
Key Performance Indicators
KPI 1: Was offside interpreted correctly?*
Signals
The flag was carried in the hand nearest the referee*
The assistant referee made eye contact before raising the flag*
Flag Stable while running*
Personality and Appearance
Portrayed positive image; interested*
Maintained upright stance*
Fitness and Movement
Side Stepped Effectively*
Turned and Sprinted when needed*
Positioning
Maintained 'squareness' to the pitch*
Followed ball through to goal line for goal kicks and corners*
Kept in line with 2nd last defender/ball*
Coach
Coaching Comments*
Coaches Name*
First Last
Date*
Date Format: MM slash DD slash YYYY