FORM 2015-CITY LEAGUE
LCSRA Referee Evaluation
Evaluation Answers are based on 1 to 5 scale with (1) being Poor; (2) Somewhat Poor; (3) Average; (4) Good and (5) Very Good
* Required
Date
*
MM
/
DD
/
YYYY
Your Team Name
*
Your answer
Opponent's Team Name
*
Your answer
Field Site
*
Your answer
Game Level
*
Men's Competitive
Men's Rec.
Men's Over 35
Wemon's
Coed Rec. Upper
Coed Rec. Lower
Summer Coed B
Summer Coed C-1
Summer Coed C-2
Arrive at least 15 minutes prior to game time to check in players?
*
1
2
3
4
5
Appear well groomed and wearing the proper uniform?
*
1
2
3
4
5
Display a courteous & professional attitude towards coaches, players, and spectators?
*
1
2
3
4
5
Keep up with play for the whole game?
*
1
2
3
4
5
Maintain good positioning to judge fouls and goals?
*
1
2
3
4
5
Display CLEAR signals [ie: voice, hands, whistle]?
*
1
2
3
4
5
Distinguish trifling from non_trifling offences?
*
1
2
3
4
5
Maintain an appropriate level of game control?
*
1
2
3
4
5
Were the decisions accurate and consistent OVERALL?
*
1
2
3
4
5
Specifically, did the Referee recognize
Intentional handling vs. the ball accidentally striking the hand?
*
1
2
3
4
5
Fair vs. Unfair charging?
*
1
2
3
4
5
Legal vs. Illegal slide tackling?
*
1
2
3
4
5
Legal vs. Illegal obstruction?
*
1
2
3
4
5
Dangerous Play?
*
1
2
3
4
5
Cautions or Ejections appropriate to the misconduct?
*
1
2
3
4
5
Dissent? Encroachment on free kicks?
*
1
2
3
4
5
Persistent Misconduct?
*
1
2
3
4
5
Serious Infractions?
*
1
2
3
4
5
Additional comments?
Your answer
Submit
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