PERFORMANCE EVALUATION FORM (STAFF)

Performance Evaluation Form (STAFF) : NAME:____________________________________ POSITION:_________________________ COVERED PERIOD: _____________________________

TOTAL TOTAL
POOR N.I. GOOD GREAT
I. EFFECTIVENESS GRADE ITEM DESCRIPTION MEASURE PTS GRADE
REV 1 2 3 4 SELF
Attention to
Detail, 10% Expertise Mastery of work items Correctness of submissions 6 1.5 3 4.5 6
Improvement,
10% Expertise, 30% Quality of Work Polished submission of work items Overall "grade" of submitted items 4 1 2 3 4

Accuracy Error reduction Occurrences of errors 2 0.5 1 1.5 2

Trueness, 20% Trueness Verifiability of work items based on facts Submission of unsupported reports 4 1 2 3 4

Improvement Active initiative to improve work items Number of submitted improvement items 2 0.5 1 1.5 2
Quality of Work,
Accuracy, 10% 20%
Inclusion of the right amount of NECESSARY
Attention to Detail Occurrences of overlooked details 2 0.5 1 1.5 2
details

SUBTOTAL MAX SCORE 20 SUBTOTAL

TOTAL TOTAL
POOR N.I. GOOD GREAT
II. WORK HABITS GRADE ITEM DESCRIPTION MEASURE PTS GRADE
REV 1 2 3 4 SELF
Integration Timeliness
Composure 5% 10%
Timeliness Ability to submit on time & meet deadlines Occurrences of late submissions 2 0.5 1 1.5 2
5%
Attendance Neatness
5% 5% Neatness Cleanliness of person,work area & work items "clean desk" policy, demerits 1 0.3 0.5 0.8 1

Initiative Drive to start and own work processes Times initiated without prodding 4 1 2 3 4
Initiative
20% Ownership Acceptance and grasp of work responsibility Commitment to the ownership of results 4 1 2 3 4
Integrity
30% Upholding of morals & adherence to company
Integrity Code of conduct violations 6 1.5 3 4.5 6
rules

Ownership Attendance Regularity of attendance and punctuality Lates/Absences 1 0.3 0.5 0.8 1
20%

Composure Ability to handle adversity and pressure Instances of mishandled difficulties 1 0.3 0.5 0.8 1

Belongingness and genuine concern for the

Integration Commitment to the company 1 0.3 0.5 0.8 1
company

SUBTOTAL MAX SCORE 20 SUBTOTAL

 PERFORMANCE EVALUATION FORM (STAFF)

TOTAL TOTAL
POOR N.I. GOOD GREAT
III. INTERACTIONS GRADE ITEM DESCRIPTION MEASURE PTS GRADE
REV 1 2 3 4 SELF

Customer Communication Coordinates concerns efficiently and clearly Participation in discussions, initiating discussion 4 1 2 3 4
Service
20% Communicatio
n
20% Teamwork Works well with others Group assessment 4 1 2 3 4

Courtesy Communicates decently without lack of candor Assessment of peers, clients, superiors 2 0.5 1 1.5 2

Truthfulness Teamwork
20% 20% Candor Ability to speak one's mind Openness and Directness 2 0.5 1 1.5 2

Truthfulness Communicates honestly & with verifiable facts Occurrences of misinformation 4 1 2 3 4

Candor Courtesy
10% 10% Customer Service Commitment to providing great service Good/Bad feedback from clients 4 1 2 3 4

SUBTOTAL MAX SCORE 20 SUBTOTAL

TOTAL SCORE

IV. FEEDBACK (feel free to express your feelings using the "smiley circles")
MORALE / ROOM FOR
How do you feel about the following? MOTIVATION GROWTH

HIGH HIGH

TEAMMATES / IMMEDIATE OFFICEMATES WORKLOAD COMPANY OVERALL WORK

GROUPMATES SUPERVISOR HAPPINESS LOW LOW

V. COMMENTS

VI. RECOMMENDATION

EMPLOYEE REVIEWER DEPARTMENT HEAD