Cross-Shift Handoff Communication Feedback Form
Your Name
Your Role
Date of Handoff
Shift
Day
Evening
Night
Handoff Given To
Handoff Received From
Clarity of Information
1
2
3
4
5
Completeness of Handoff
1
2
3
4
5
Relevance of Information
1
2
3
4
5
Strengths of Handoff Communication
Areas for Improvement
Additional Comments