Reflective Template:  Quality Improvement Activity (QIA)

This reflective template has been designed to use with the SOAR Database (Scottish Online Appraisal Resource).  When you have completed this reflection, please upload it to SOAR / Form 3 and submit it to your interview to share with your Appraiser.	3-step guide to completing this form:

1)	Save this form (using “Save As”) to your computer (e.g. My Documents, Desk top), and customise the file name (e.g. QIA Reflection 2012)
2)	Proceed to filling out the form - when finished, Save and Close the document.
3)	Login to SOAR and Upload this file from where you had saved it (from step 1), either to the Documents Library, or directly to Form 3.	

This reflection template form should be used for Domain 2: Safety and Quality.

The boxes will expand automatically as you type into them.
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What supporting information have you provided for your QIA?

What strengths or achievements does it demonstrate?

Did you encounter any difficulties in this process?

Have you been able to make any changes as a result of undertaking this activity?

What have you learned from undertaking this activity?

Is there anything else that you would like to/ need to do to follow it up?