
The 5-Minute Feedback Form for the KVP Learning Cycle
Many BGM coordinators don't know after a measure whether it actually worked — because they never asked. The effort required for meaningful feedback is minimal, and the benefit for the annual report is enormous.
Why Three Questions Are Enough
The GKV Leitfaden Prävention requires an outcome evaluation for Phase 6 (checks 66–82) that covers three dimensions: process quality (Was the measure well organized?), resource building (Did the measure provide real benefit?), and acceptance (Would participants recommend it to others?).
These exact three dimensions can be captured with three questions — if they're worded correctly.
The Copy-Ready Questionnaire
This questionnaire can be used as a paper slip, a Google Form, or a digital survey tool. Rating on a 1-to-5 scale (stars or numbers):
**Question 1 — Process quality:** 'The measure was organized in a way that let me integrate it smoothly into my daily work.'
**Question 2 — Resource building:** 'I learned concrete methods or exercises to strengthen my health on my own.'
**Question 3 — Acceptance / NPS:** 'Would you recommend participating in this program to your colleagues?'
Evaluation in the Annual Report
The averages across all three questions produce the 'measure score.' For the GKV report: a before/after comparison (if the same measure is repeated) or benchmarking between different measures. A score below 3 on question 2 is a clear signal: the measure isn't producing a lasting effect — reconsider it for next year.
How to put it in place
- 1Prepare the questionnaire as a digital form or paper slip
- 2Enter three questions (process quality, resource building, willingness to recommend)
- 3Set up a 1–5 star rating as the scale
- 4Distribute the questionnaire at the end of each measure (not mandatory to be anonymous, but recommended)
- 5Aggregate the results: calculate the average per question and measure
- 6Document in the health committee (AK Gesundheit) minutes
- 7For the annual report: summarize measure scores in a table
What you need
- Effort
- under 30 min
- Cost
- Free
- Duration
- 5 Minuten
- Setup
- 5 min
- ✓ Meet GKV guideline checks 66–82 (evaluation) with minimal effort
- ✓ Data basis for continuous improvement process (KVP)
- ✓ Identify and phase out ineffective measures early
- ✓ Support the annual report with real impact data
Eligible for funding: up to €600 tax-free
Als Teil eines strukturierten BGM-Prozesses ist diese Maßnahme nach § 3 Nr. 34 EStG bis 600 € pro Mitarbeitendem und Jahr steuerfrei. Zertifizierte Angebote bezuschusst zusätzlich die Krankenkasse nach § 20b SGB V.
Im BGM-Tool umsetzen
Kostenlos registrieren — die Maßnahme steht startklar im Cockpit, verbunden mit deinen BGM-Zielen, Anlässen und KPIs. Alles an einem Ort, ohne Excel.
EasyBGM kostenlos testenContributes to
Action field
Governance & Compliance →A fitting occasion
- Employee Survey: Annual Health & Mood Pulse Check
Related best practices
Not sure where to start? BGM-Reifegrad prüfen →