Performance Review (Annual & quarterly)
Self-Assessment + Management Review
Name & Today's Date
*
First Name
Last Name
Today's Date
Title, Supervisor & Date Hired
*
Title at time of this review
Who do you report to directly?
Date Hired (Month/Year)
Self-Assessment Section
You will rate yourself 1-10 + comments in box below.
Customer Service
Worst
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9
Best
10
1 is Worst, 10 is Best
Customer Service
Effective communication; follow-through; listening skills; timeliness & responsiveness.
Management Comments-CUSTOMER SERVICE
Job Skills & Knowledge
Worst
1
2
3
4
5
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8
9
Best
10
1 is Worst, 10 is Best
Job Skills & Knowledge
Level/range of work-related skills; understanding of various required work assignments; knowledge of work tools/equipment.
Management Comments-JOB SKILLS & KNOWLEDGE
Productivity
Worst
1
2
3
4
5
6
7
8
9
Best
10
1 is Worst, 10 is Best
Productivity
Amount/volume of work accuracy; quality; timeliness; meets deadlines.
Management Comments-PRODUCTIVITY
Creativity/Initiative
Worst
1
2
3
4
5
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7
8
9
Best
10
1 is Worst, 10 is Best
Creativity/Initiative
Ability to offer suggestions; propose new creative ideas and solutions to working situations.
Management Comments-CREATIVITY/INITIATIVE
Communication
Worst
1
2
3
4
5
6
7
8
9
Best
10
1 is Worst, 10 is Best
Communication
Accurate, clear, timely communication of information. Discretion in the distribution of information.
Management Comments-COMMUNICATION
Teamwork
Worst
1
2
3
4
5
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7
8
9
Best
10
1 is Worst, 10 is Best
Teamwork
Working relationships; adaptability; commitment to unit goals.
Management Comments-TEAMWORK
Work Habits
Worst
1
2
3
4
5
6
7
8
9
Best
10
1 is Worst, 10 is Best
Work Habits
Attendance; punctuality; availability; accessibility; adherence to policies,procedures/practices.
Management Comments-WORK HABITS
Reflection & Feedback Section
All written/typed answers to more vague/open questions about the overall big picture!
Overall Performance (contribution to overall mission)
Where & how do you see yourself, with your own progress & how it connects to DS24?
Performance Improvement Plan
Please identify specific measures and corresponding time frames that will improve performance. Please include training programs, as well as other educational or skills training opportunities which could assist in developing work performance. In a nutshell, what's your plan to improve?
Feedback to Management
What ideas do you have in mind that could improve DS24 (policy, procedures, benefits, incentives, sales)
Anything else?
Here is an opportunity to say whatever you wish, ask any questions out loud, or make any general statements!
Management Responding Comments
This is a box for ownership/mgmt to respond/reply to anything written/typed by employee in Reflection & Feedback Section.
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