Employee Health Report

Employee Health Report

Please rate each of your team members on the below questions on a scale of 1 - 5
Department*
Executive*
Executive Overseeing This Department
Manager Name*
Person Who Is Submitting This Report
Your Name*

First NameLast Name
Staff Name*
Who Your Providing Feedback For
Reporting Month*
The Month Your Reporting For
1) How is this employee doing with their day-to-day responsibilities?*

1

2

3

4

5

1 is Insufficient, 5 is Anticipates
2) How is this employee doing on assigned projects and deliverables?*

1

2

3

4

5

1 is Insufficient, 5 is Anticipates
3) How is this employee progressing with their professional development?*

1

2

3

4

5

1 is Insufficient, 5 is Anticipates
4) How much does this employee get their role? (they understand their role, the culture, the systems, the pace, and how the job comes together)*

1

2

3

4

5

1 is Insufficient, 5 is Anticipates
5) How much does this employee want their role? (they genuinely like the job and want to do it based on fair compensation and the associated responsibility)*

1

2

3

4

5

1 is Insufficient, 5 is Anticipates
6) How much does this employee have capacity for their role? (they have mental, physical, and emotional capacity to do the job well)*

1

2

3

4

5

1 is Insufficient, 5 is Anticipates
7) Does the employee have capacity for additional work, from a time standpoint?*

YesNo
7a) Estimated number of additional hours
Additional Notes Regarding This Employee
Should be Empty: