Optical Employee Performance Review Form
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1
2OPTICAL EMPLOYEE PERFORMANCE REVIEW FORM
Employee Name: _______________________________________________________
Position: ____________________________
Date of Hire: ____________________
Last Review Date: ___________________
Current Review Date: _____________
Evaluator: __________________________
Evaluation key
1. Does not meet expectations, needs improvement
2. Meets expectations, performs at consistent acceptable levels most of the time
3. Exceeds Expectations, performs consistently all of the time
Building Patient Relationships
10% Total Weight
Our overall mission is to create patients for life by ensuring that every patient feels welcomed and
they have received the highest level of excellence as well as patient care.
Welcoming the patient
1
2
3
Always a smile in voice
1
2
3
Identifies self to patient
1
2
3
Shows concern about making every patient feel welcome and
1
2
3
comfortable in a friendly manner
Does not prejudge a patient
1
2
3
Treats patients as to the way they would wish to be treated
1
2
3
Telephone answered promptly, patient’s needs are identified and
1
2
3
responded to in a friendly manner
Lifestyle needs are consistently executed including pre-assessing
1
2
3
and the doctor hand off
Building Team Relationships
10% Total Weight
Supports practice goals
1
2
3
Supports depart goals
1
2
3
Fulfills responsibilities of the job
1
2
3
Promote enthusiasm and teamwork
1
2
3
Fosters positive working relationships with doctors of optometry and
1
2
3
their staff
Positive communication between opticians, manager and other
1
2
3
departments
Operations
10% Total Weight
Paperwork
1
2
3
Pays close attention to detail
1
2
3
Documentation to convey communications
1
2
3
Notify patients when orders are ready in prompt manner
1
2
3
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Parent category: Business