Employee Evaluation Form "*" indicates required fields Agency Name:* Team Member Name:* First Last This evaluation is an opportunity to tell your team member and us of how they are doing. Your feedback will help determine the suggested payroll raise amount for your team member.1. Quality, productivity and accuracy of workYour team member manages his/her daily responsibilities and tasks consistently, efficiently and proficiently. Strongly Disagree Disagree Neither Agree nor Disagree Agree Strongly Agree What can your team member do to meet your expectations?* What can your team member change to earn a perfect score?* Great! How did your team member exceed your expectations? 2. Attendance and reliability*Your team member works on scheduled shifts, with none to few absences, tardiness, or early departure and shows a strong commitment to completing tasks. Strongly Disagree Disagree Neither Agree nor Disagree Agree Strongly Agree What can your team member do to meet your expectations?* What can your team member change to earn a perfect score?* Great! How did your team member exceed your expectations? 3. Communication*Your team member thrives to deliver messages without causing confusion or offense and openly relay ideas and/or challenges. He/she is attentive, responsive and properly reaches out to you for questions or clarifications. Strongly Disagree Disagree Neither Agree nor Disagree Agree Strongly Agree What can your team member do to meet your expectations?* What can your team member change to earn a perfect score?* Great! How did your team member exceed your expectations? 4. Initiative*Your team member is self-motivated, proactive, resourceful, and demonstrated the capability to complete tasks independently. Strongly Disagree Disagree Neither Agree nor Disagree Agree Strongly Agree What can your team member do to meet your expectations?* What can your team member change to earn a perfect score?* Great! How did your team member exceed your expectations? 5. Team Player*Your team member adapts well to changes, flexible towards situations, and cooperative to co-workers and other staff. Strongly Disagree Disagree Neither Agree nor Disagree Agree Strongly Agree What can your team member do to meet your expectations?* What can your team member change to earn a perfect score?* Great! How did your team member exceed your expectations? Do you have any other concerns or feedback that you would like for your employee or for us to know?
