Referee Evaluation Form - Fall 2025

To help us provide the best possible officials, please use this form to make any comments you think are appropriate concerning the performance of the referee assigned to your Region 11 CYO game. 

* Indicates required question

n/a is an appropriate answer if not applicable to cyo

Section 1 - COACH INFORMATION

First and Last Name

*

Coaching License, if applicable

Team Name, Age, and Division

*

Phone Number you can be reached at

*

You can be reached at the email address:

*

Section 2 - GAME INFORMATION

Game Number (this metric can be found in the last column, R11 weekly email schedule)

*

Date of Game

* MM/DD/YYYY

Home Team and Home Score

*

Away Team and Away Score

*

Section 3 - REFEREE INFORMATION

For the next section of questions please use the following scale for your evaluation.

5= Excellent; 4= Very Good; 3= Average; 2= Fair; 1= Poorly

Dress/Appearance

1     2     3     4     5

Comments:

Fitness

1     2     3     4     5

Comments:

Impartiality

1     2     3     4     5

Comments:

Attitude towards Players

1     2     3     4     5

Comments:

Attitude towards Coaches

1     2     3     4     5

Comments:

Attitude towards Fans

1     2     3     4     5

Comments:

Knowledge of Laws of the Game

1     2     3     4     5

Comments:

Game Control

1     2     3     4     5

Comments:

Section 4 - Additional Comments, or narrative

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