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Worksheet 1.5 — Feedback-to-Action

Module 1 · Personal Effectiveness, Reliability & Resilience

Worksheet 1.5 — Feedback-to-Action

Write your own real feedback example using all four fields.

Name: ______________________________

Date: ______________________

Four Steps From Feedback to Fix

  1. Record — Write the feedback exactly as it was said.
  2. Separate — Facts vs. your emotional reaction.
  3. Act — What's in your control? Define one action + success signal.

Worked Example: From Feedback to Action

  • Feedback received: “Your reports are always late.”
  • Fact: 2 of last 5 reports were late
  • My next action: Set a reminder 1 hour early

Feedback received

Fact

My next action

Evolve Workforce Solutions · Life Skills & Workforce Development