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Performance Counseling Form Template

Create a structured approach to performance management

Handling performance issues can be challenging, but with the right approach, you can guide employees toward improvement. This performance counseling form template is perfect for managers and HR professionals who want to provide constructive feedback and foster growth. By using this form, you can document performance issues, set clear expectations, and create actionable improvement plans, all while ensuring a consistent and fair process across your team. Streamline your performance assessments and promote transparency in your evaluations-explore the live template now.

Employee full name
Job title
Department or team
Supervisor/Manager full name
Meeting date
Meeting format
In person
Video call
Phone call
Other
Please Specify:
Primary focus area
Please Specify:
Most recent occurrence date
Description of performance concern or incident
Impact on team, customers, or business
Related policy, standard, or expectation
Severity assessment
Low
Moderate
High
Has this issue been discussed previously?
Yes
No
Previous actions taken
Coaching conversation
Verbal warning
Written warning
Training provided
Workload adjusted
Resources provided
Performance improvement plan (PIP)
None
Other
Please Specify:
Evidence or documentation referenced
Attendance records
Performance metrics
Customer feedback
Incident report
Emails/communications
Observation notes
Training records
None
Other
Please Specify:
The employee understands the performance expectations for the role
Strongly disagree
Disagree
Neither
Agree
Strongly agree
Risk to safety or compliance is present
Yes
No
Goal statement (use SMART format)
Specific actions the employee will take
Support and resources the organization will provide
Please Specify:
Check-in frequency
Twice weekly
Weekly
Every two weeks
Monthly
Other
Please Specify:
Target achievement date
Consequences if improvement is not achieved
Additional coaching
Written warning
Final warning
Termination consideration
Not applicable
Other
Please Specify:
Employee comments (optional)
Manager comments (optional)
Employee typed signature (enter full name)
Date signed (employee)
Manager typed signature (enter full name)
Date signed (manager)
I acknowledge I have reviewed this counseling discussion and received a copy
Strongly disagree
Disagree
Neither
Agree
Strongly agree
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Paper art illustration depicting a performance counseling form template for FormCreatorAI article

When to use this form

Use this form when you need to address a pattern or a serious one-off issue and align on a plan to improve. You and your employee can document facts, expectations, and next steps in one place. It fits situations like repeated tardiness, missed SLAs, quality errors, or unprofessional conduct. The form creates a shared action plan with timelines and check-ins, so follow-up is consistent and fair. If this conversation follows a review, attach notes from the Performance appraisal form or schedule checkpoints that feed into your Mid year performance review form.

Must Ask Performance Counseling Questions

  1. What specific behavior or result prompted this conversation?

    This focuses the discussion on observable facts and reduces defensiveness. Clear examples make it easier for you to coach and to document what must change.

  2. What impact did this issue have on the team, customers, or goals?

    It ties actions to outcomes, which builds accountability. Knowing the harm clarifies why change matters now.

  3. What support, training, or resources do you need to meet expectations?

    This turns critique into a plan and surfaces obstacles you can remove. If skill gaps are involved, pair coaching with the Mentor evaluation form to match mentors and track progress.

  4. What measurable goal will you commit to, and by when?

    Specific targets and dates create a clear standard for success. They also make follow-up easier and fair.

  5. When will we review progress, and how will we measure success?

    Setting a review date and evidence upfront prevents slippage. It keeps both of you aligned on what proof of improvement looks like.

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