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									                              Employee Performance Review Form




                                         Employee Information
Full Name:                                            Date:



Title:                                                Employee ID



Department:                                           Supervisors Name:




1. Job Knowledge/Skills: Evaluation of demonstrated knowledge and skills, including familiarity with
policies, procedures, resources and laws. Consider efforts to keep up with changes in those areas.

Excellent☐              Good☐                  Satisfactory☐                 Fair☐               Poor☐

         Comments:




2. Work Results: Evaluation of ability to meet goals, expectations, quality standards, quantity standards,
and deadlines, both individually and as part of a team.

Excellent☐              Good☐                  Satisfactory☐                 Fair☐               Poor☐

         Comments:




3. Communications: Evaluation of effectiveness in exchanging information in an effective, timely, clear,
and concise manner. Consider listening, speaking, writing, and presenting skills.

Excellent☐              Good☐                  Satisfactory☐                 Fair☐               Poor☐

         Comments:
4. Communications: Initiative/Problem Solving: Evaluation of the extent to which the employee is self-
directed, resourceful, and creative in performing duties, individually and as part of a team. Review his or
her ability to identify and solve problems; complete assignments; and develop or improve business
policies and processes.

Excellent☐               Good☐                  Satisfactory☐                 Fair☐                Poor☐

     Comments:




5. Judgment: Measure employee’s recognition of the “best way” to perform a job; proposal of new,
different, and alternative solutions; determination of whether problems should be handled independently,
elevated, or delegated; follow-up on problems and solutions.

Excellent☐               Good☐                  Satisfactory☐                 Fair☐                Poor☐

     Comments:




6. Interpersonal Skills: Evaluate employee’s ability to develop and maintain good relationships, both
inside and outside of the organization. Consider the employee’s willingness to be a team player, give and
receive constructive criticism, accept supervision, resolve conflicts, recognize the needs and sensitivities
of others, and treat co-workers equitably.

Excellent☐               Good☐                  Satisfactory☐                 Fair☐                Poor☐

     Comments:




7. Technical Skills: Evaluate the employee’s knowledge and use of technology to improve job
performance and company operations. Consider his or her efforts to develop knowledge and skills to stay
current with relevant technical changes.

Excellent☐               Good☐                  Satisfactory☐                 Fair☐                Poor☐

     Comments:
8. Work Habits: Evaluate the employee’s efficiency, customer service, proper conduct, speech, ethical
behavior, and adherence to company policies and procedures (including attendance, punctuality, safety,
security, and care and maintenance of equipment).

Excellent☐              Good☐                  Satisfactory☐                 Fair☐                Poor☐

     Comments:




9. Supervision/Management (if applicable): Evaluate employee’s leadership, judgment and initiative,
and how he or she manages programs, projects, employees, budgets, technology, and organizational
changes. Consider whether or not the employee engages in strategic planning and measurement,
teamwork, staff development, and recognition of accomplishments, and whether he or she innovates and
fulfills administrative requirements.

Excellent☐              Good☐                  Satisfactory☐                 Fair☐                Poor☐

     Comments:




10. Overall Rating: This evaluation should be supported by the above-listed ratings, but is not
necessarily an average of those scores. Each factor may not be weighted equally.

Excellent☐              Good☐                  Satisfactory☐                 Fair☐                Poor☐

     Comments:




Please list some of the employee’s strengths _____________________________________________

_________________________________________________________________________________

_________________________________________________________________________________



Please list some of the employee’s weaknesses __________________________________________

_________________________________________________________________________________

_________________________________________________________________________________
Additional Comments:




Employee Name (Print) _________________________________________ Date ___________________



Employee Signature___________________________________________________________________



Reviewing Manager____________________________________________ Date ___________________



Reviewing Manager Signature____________________________________________________________



Supervisor’s Name (Print) _______________________________________ Date___________________



Supervisor’s Signature _________________________________________________________________

								
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