LCSRA Referee Evaluation Form 2010
All fields are required!
Date:
(required)
Your Team Name:
(required)
Opponent’s Team Name:
(required)
Game Site:
(required)
Level
Please Select Level
Men'S Competitive
Men's Recreational
Men's 35+
Women's
Coed Rec Upper
Coed Rec Lower
Summer Coed B
Summer Coed C-1
Summer Coed C-2
(required)
On a scale from 1 (low) to 5 (high) please rate the following questions:
Arrive at least 15 minutes prior to game time to check in players?
Rate
1
2
3
4
5
(required)
Appear well groomed and wearing the proper uniform?
Rate
1
2
3
4
5
(required)
Display a courteous & professional attitude towards coaches, players, and spectators?
Rate
1
2
3
4
5
(required)
Keep up with play for the whole game?
Rate
1
2
3
4
5
(required)
Maintain good positioning to judge fouls and goals?
Rate
1
2
3
4
5
(required)
Display CLEAR signals [ie: voice, hands, whistle]?
Rate
1
2
3
4
5
(required)
Distinguish trifling from non_trifling offences?
Rate
1
2
3
4
5
(required)
Maintain an appropriate level of game control?
Rate
1
2
3
4
5
(required)
Were the decisions accurate and consistent OVERALL?
Rate
1
2
3
4
5
(required)
Specifically, did the Referee recognize:
Intentional handling vs. the ball accidentally striking the hand?
Rate
1
2
3
4
5
(required)
Fair vs. Unfair charging?
Rate
1
2
3
4
5
(required)
Legal vs. Illegal slide tackling?
Rate
1
2
3
4
5
(required)
Legal vs. Illegal obstruction?
Rate
1
2
3
4
5
(required)
Dangerous Play?
Rate
1
2
3
4
5
(required)
Cautions or Ejections appropriate to the misconduct?
Rate
1
2
3
4
5
(required)
Dissent? Encroachment on free kicks?
Rate
1
2
3
4
5
(required)
Persistent Misconduct?
Rate
1
2
3
4
5
(required)
Serious Infractions?
Rate
1
2
3
4
5
(required)
Additional comments?
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