The Leaves Service Standards Employee Feedback

The Leaves Service Standards Employee Feedback

At The Leaves, feedback is one way we care for one another. This form reflects our shared Service Standards and helps us grow together. Feedback shared here may be thoughtfully considered alongside other observations when reflecting on an employee’s performance. It is used to encourage growth, learning, and recognition of good work. Thank you for sharing your experience.
Who is this feedback about? (Employee name)
Your relationship to The Leaves:

Staff memberPatientResidentFamily member / guestCommunity member / friend
Would you like to remain anonymous?

YesNo
If "No" please type your name below: (optional)
The Leaves Service Standards

Our Service Standards were prayerfully rolled out in 2025 as a guide for how love, safety, and respect are expressed in daily service at The Leaves. Over the past year, staff have had the opportunity to embody these standards in their work. Your feedback helps us understand how these values are showing up in lived experience—highlighting where each team member is thriving and where there may be opportunities for continued growth.
1. Safety
The employee helps create a safe and calm environment.

1

2

3

4

5

1 is Disagree, 5 is Agree
2. Courtesy
The employee treats others with kindness, respect, and a caring manner.

1

2

3

4

5

1 is Disagree, 5 is Agree
3. Demonstration
The employee is professional, flexible, and attentive to individual needs.

1

2

3

4

5

1 is Disagree, 5 is Agree
4. Efficiency
The employee uses time and resources well and responds promptly.

1

2

3

4

5

1 is Disagree, 5 is Agree
5. Inclusion
The employee helps others feel valued, heard, and respected.

1

2

3

4

5

1 is Disagree, 5 is Agree
6. Teamwork / Collaboration
The employee works well with others and contributes positively as a team member.

1

2

3

4

5

1 is Rarely, 5 is Always
Not observed
Matthew Code

We follow the Matthew 18 model of communication. This means we speak with one another first—sharing concerns as well as appreciation—and that the feedback shared here reflects matters you have already addressed directly with this individual, so feedback is never a surprise but a continuation of loving, respectful dialogue.
Something this employee does especially well:
Something that could help them grow or improve:
Anything else you'd like us to know?
❤️ Thank you for helping us live our service standards with love and integrity.
Should be Empty:

The Leaves Service Standards Employee Feedback

The Leaves Service Standards

1. Safety

2. Courtesy

3. Demonstration

4. Efficiency

5. Inclusion

6. Teamwork / Collaboration

Matthew Code