PROVINCIAL GOVERNMENT OF TARLAC

PERFORMANCE EVALUATION SHEET

RATING PERIOD: _________________to _________________
Name of Employee:
Present Position:

Office:
Status of Employment:

INSTRUCTIONS
1. This form is used for evaluating the performance of your Casual,
Contractual and
Job Order Employees. Reproduction of this form is
allowed.
2. Please observe fairness and objectivity when rating.
3. In your rating, check the box that most objectively represents the ratees
level of performance guided by the definitions of rating under each factor.
Please use the rating scale below:
SCALE
10
8
6
4
2

ADJECTIVAL RATING
-

O (Outstanding)
VS (Very Satisfactory)
S
(Satisfactory)
U (Unsatisfactory)
P
(Poor)

4. Ensure that signatures are properly affixed after accomplishing this form.
JOB FACTORS
PART I

PERFORMANCE (70%)

1.

WORK QUANTITY/OUTPUT
Overall work accomplishment
in relation with targets/assigned
tasks

2.

WORK QUALITY
Efficiency and effectiveness vis a
vis job requirements and expectations

3.

WORK ATTITUDE
Pride, interest and job dedication,
cheerfulness despite work pressures

PART II
1.

CRITICAL FACTORS (30%)

PUNCTUALITY AND ATTENDANCE

Observed behavior of coming to the
office or to be present at work to
complete assigned tasks

10

2.

COURTESY
Polite, kind & thoughtful behavior towards
the public/clientele in manners of speech
and actions

3.

HUMAN RELATIONS
Concern for people at work,
including supervisor-subordinate
relationship and office clientele

4.

INITIATIVE
Starts action, projects and performs
assigned tasks without being told
and under minimal supervision

5.

STRESS TOLERANCE
Stability of performance under
pressure or opposition

6.

JUDGMENT/DECISION MAKING
Ability to develop alternative
solutions to problems to reach a sound
decision & readiness to take action or
commit oneself

7.

INTEGRITY
Trustworthiness, honesty, and honor
of the person

PART III

SCORE

AVERAGE RATING (Sum/3 x 70%)

Part II
AVERAGE RATING (Sum/7 x 30%)
OVERALL POINT SCORE
(Part I + Part II)
ADJECTIVAL RATING

Rated By:

Immediate Supervisor

Confirmed By:

Department Head/Chief of Office