Employee Evaluation Form

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Employee Evaluation Form
Employee Name:
Position:
Department:
Review Period:
1. Please respond to each statement by circling one of the numbers on the five-point scale. A five
indicates that you strongly agree (SA); a one indicates the employee needs improvement (NI)
SA
NI
a) The employee understands job objectives
5
4
3
2
1
b) The employee works well with co-workers
5
4
3
2
1
c) The employed has achieved training & education
5
4
3
2
1
d) The employee performs job duties well
5
4
3
2
1
e) The employee asks for help when needed
5
4
3
2
1
f) The employee show self-initiative
5
4
3
2
1
g) Does the employee follow company rules
5
4
3
2
1
2. Please indicate overall job performance:
No
Little
Some
Significant
Much
Change
Change
Change
Change
Change
Knowledge
Skills
Attitude
3. Please list any suggestions or additional comments below: (Supervisor)

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