Date:____________________________
Name of Employee:
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Completed By:
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A. Most successful job accomplishments since last performance period:
1. __________________________________________________________________________________________________________________________
2. __________________________________________________________________________________________________________________________
3. __________________________________________________________________________________________________________________________
4. __________________________________________________________________________________________________________________________
B. Key strengths of employee:
1. __________________________________________________________________________________________________________________________
2. __________________________________________________________________________________________________________________________
3. __________________________________________________________________________________________________________________________
4. __________________________________________________________________________________________________________________________
C. Problems since last performance appraisal:
1. __________________________________________________________________________________________________________________________
2. __________________________________________________________________________________________________________________________
3. __________________________________________________________________________________________________________________________
4. __________________________________________________________________________________________________________________________
D. Key areas that need improvement:
1. __________________________________________________________________________________________________________________________
2. __________________________________________________________________________________________________________________________
3. __________________________________________________________________________________________________________________________
4. __________________________________________________________________________________________________________________________
E. Teamwork Ability:
1. __________________________________________________________________________________________________________________________
2. __________________________________________________________________________________________________________________________
3. __________________________________________________________________________________________________________________________
4. __________________________________________________________________________________________________________________________
F. What Warnings, If Any, Should be Given to Employee?
1. __________________________________________________________________________________________________________________________
2. __________________________________________________________________________________________________________________________
3. __________________________________________________________________________________________________________________________
4. __________________________________________________________________________________________________________________________
G. How Would You Rate the Employee on the Following:
Excellent |
Above Satisfactory |
Satisfactory |
Average |
Below Average |
Unsatisfactory |
| Attitude |
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| Initiative |
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| Dependability |
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| Work quality |
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| Work quantity |
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| Knowledge of job |
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| Team Play |
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| Organization Ability |
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| Judgement |
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| Responsibility |
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H. Any other observations?:_______________________________________________________________________________________________________
____________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________
I. Action to be taken if improvement is desired:
| Plan of action |
By whom |
Future Review
Dates Schedule |
Completion Date |
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J. Overall Performance:
Excellent (90-100) _____________________________________________
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Average (70-74) _______________________________________________
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Above Satisfactory (80-89) _______________________________________
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Below Average (60-69) __________________________________________
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| Satisfactory (75-79) ____________________________________________ |
Unsatisfactory (under 60) ________________________________________ |
Has this performance appraisal been reviewed with the employee? ___________Yes ___________No
