GENERAL PERFORMANCE EVALUATION FORM

Employee: ____________ Date:__________

Job Title:______________ Performance Period:___________

EVALUATION FACTORS S A NI
Reports to work on time.
Dedication Uses time constructively.
Good working knowledge of job assignment.
Performance Organizes and performs work in timely,
professional manager
Willingly accepts work assignments.
Cooperation Willingly accepts changes in assignments not
directly related to job.
Performs assigned duties with little or no
supervision.
Initiative Performs assigned duties with little or no
supervision, even under pressure.
Strives to meet deadlines.
Communicates clearly and intelligently in
Communication person and during telephone contacts.
Works well with fellow employees without
Teamwork friction.
Accepts constructive criticism without
Character unfavorable response.
Responsiveness Handles stressful situations with tact.
Demonstrates a pleasant, calm personality
when dealing with costumers and fellow
Personality employees.

Appearance Well groomed. Clean. Neat.

Maintains neat and orderly workstation.

Work Habits

Maintains neat and orderly paperwork.

LEGEND: S= Satisfactory A= Adequate NI= Needs Improvement

PERFORMANCE FACTORS

Administration - Measures effectiveness in planning, organizing Outstanding

and efficiently handling activities and eliminating unnecessary Exceeds Expectations
activities. Meets Expectations
Below Expectations
Unsatisfactory
NA
Knowledge of Work - Consider employee's skill level, knowledge Outstanding
and understanding of all phases of the job and those requiring Exceeds Expectations
improved skills and/or experience. Meets Expectations
Below Expectations
Unsatisfactory
NA
Communication - Measures effectiveness in listening to others. Outstanding
Exceeds Expectations
Meets Expectations
Below Expectations
Unsatisfactory
NA
Teamwork – Measures how well this individual gets along with Outstanding
fellow employees, respects the rights of other employees, and Exceeds Expectations
shows a cooperative spirit. Meets Expectations
Below Expectations
Unsatisfactory
NA
Decision Making/ Problem Solving – Measures effectiveness in Outstanding
understanding problems and making timely, practical decisions. Exceeds Expectations
Meets Expectations
Below Expectations
Unsatisfactory
NA
Human Resource Management – Measures effectiveness in Outstanding
selecting qualified people; evaluating subordinates’ performance; Exceeds Expectations
strengths and development needs; providing constructive Meets Expectations
feedback, and taking appropriate and timely action with marginal
Below Expectations
or unsatisfactory performers. Also considers efforts to further the
universal goal of equal employment opportunity. Unsatisfactory
NA
Independent Action – Measures effectiveness in time Outstanding
management; initiative and independent action within. Exceeds Expectations
Meets Expectations
Below Expectations
Unsatisfactory
NA
Job Knowledge – Measures effectiveness in keeping Outstanding
knowledgeable of methods, techniques and skills required in own Exceeds Expectations
job and related functions; remaining current on new Meets Expectations
developments affecting the company and its work activities.
Below Expectations
Unsatisfactory
NA
Leadership – Measures effectiveness in accomplishing work Outstanding
assignments through subordinates; establishing challenging goals; Exceeds Expectations
delegating and coordinating effectively; promoting innovation and Meets Expectations
team effort.
Below Expectations
Unsatisfactory
NA
Managing Change and Improvement – Measures effectiveness in Outstanding
initiating changes, adapting to necessary changes from old Exceeds Expectations
methods when they are no longer practical, identifying new Meets Expectations
methods and generating improvement in facility’s performance.
Below Expectations
Unsatisfactory
NA
Client Responsiveness – Measures responsiveness and courtesy in Outstanding
dealing with internal staff and external clients. Employee projects Exceeds Expectations
a courteous manner. Meets Expectations
Below Expectations
Unsatisfactory
NA
Dependability – Measures how well employee complies with Outstanding
instructions and performs under unusual circumstances; consider Exceeds Expectations
record of attendance and punctuality.
Meets Expectations
Below Expectations
Unsatisfactory
NA
Safety – Measures individual’s work habits and attitudes as they Outstanding
apply to working safely. Consider their contribution to accident Exceeds Expectations
prevention, safety awareness, ability to care for company property Meets Expectations
and keep workspace safe and tidy.
Below Expectations
Unsatisfactory
NA
Employee’s Responsiveness – Measures responsiveness in Outstanding
completing job tasks in a timely manner. Exceeds Expectations
Meets Expectations
Below Expectations
Unsatisfactory
NA

Comments and Recommendations: _______________________________________________________

____________________________________________________________________________________
____________________________________________________________________________________

Evaluation Performed by: _____________________________ Date:__________________