Pennsylvania Interscholastic Hockey League

Referee Evaluation Form

Today' Date*

Association*

League Rep*

Date of Game*

Rink*

Game #*

Level*

Referee #1 Evaluation

Please respond to the questions and include your reasons for the answer.

Referee 1 Name / Number*

1. Ref1 - Please rate the type of game you think this was to officiate*

2. Ref1 - Please rate how the official communicated with you and the players? Please select one number, 5 being the highest.*

3. Ref1 - Please rate the game management skills of the official. Please select one number, 5 being the most positive rating.*

4. Ref1 - Please rate the professionalism of the official. Please select one number, 5 being the least negative rating.*

5. Ref1 - Briefly describe any issues that you had during this game.

Referee #2 Evaluation

Please respond to the questions and include your reasons for the answer.

Referee 2 Name / Number*

1. Ref2 - Please rate the type of game you think this was to officiate.*

2. Ref2 - Please rate how the official communicated with you and the players? Please select one number, 5 being the highest.*

3. Ref2 - Please rate the game management skills of the official. Please select one number, 5 being the most positive rating.*

4. Ref2 - Please rate the professionalism of the official. Please select one number, 5 being the least negative rating.*

5. Ref2 - Briefly describe any issues that you had during this game.