Performance Evaluation Staff Feedback Form

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MRC Industries, Inc.
Performance Evaluation Staff feedback form
Employee Name
Job Title:
Supervisor:
Review Period:
Department:
Hire Date:
3-Month
6-Month
Annual
MRC conducts regularly scheduled performance evaluations of all employees. This
evaluation is an opportunity for you to give formal written input on your job duties, your
job satisfaction and any other areas you would like to comment on. Please respond to the
following questions and return to me no later than __________. Please feel free to attach
additional pages if you need more space. After I receive your feedback I will schedule a
time to meet with you to discuss your job performance and to set future goals.
1. Does your job description match your job duties? Are there any updates to your
job description that you would recommend? If so, please describe:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
2. What do you believe were your significant performance accomplishments during
this review period?
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
3. What do you consider your strengths in your position?
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
4. What areas are you having difficulties in?
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
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