2025 Performance Review Form

2025 Performance Review Form

A 1–5 performance evaluation rating scale will be utilized for this review
Employee's Full Name*
Reviewed by (Manager's Full Name) *
Reviewing Manager's Email *
example@example.com
Location (Department) /Title*
Regional Manager/Department Head*
Email*
example@example.com
Evaluation Key

5- Exceeds Expectations- Consistently performs at a high level above expectations of the role with little or no supervision

4- Above Expectations- Performs all tasks based on expectations of the role or above expectation with little supervision.

3- Meets Expectations- Performs all tasks required at the expectation level of the role with appropriate level of supervision.

2- Below Expectations- Performs tasks required of the role below expectations of the roles, requires more supervision. May require additional training

1 Does Not Meet Expectations- Does not perform required tasks of the role at the expectation of role, requires performance plan.
Demonstrates an understanding of tasks required of the role.*
Demonstrates awareness of and adherence to company code of conduct & regulatoryrequirements for position. *
Follows relevant company policy/procedures applicable to position. *
Seeks to improve job knowledge through observation and questions. *
Recognizes errors/problems and reports such immediately. *
Applies job knowledge to responsibilities *
Functions well in position with appropriate level of supervision *
Demonstrates ability to handle volume of work. *
Establishes and maintains positive and effective relationships with patients *
Establishes and maintains positive and effective relationships with coworkers *
Establishes and maintains positive and effective relationships with supervisors. *
Establishes and maintains positive and effective relationships with providers *
Expresses thoughts clearly in conversations and interactions both spoken and written. *
Comprehension of written and oral communication *
Plans & organizes work to meet objectives and deadlines. *
Completes responsibilities and assigned tasks in a timely manner. *
Flexible- Readily adapts to change when needed. *
Accepts supervision and feedback with a positive and appropriate attitude *
Displays initiative *
Follows company code of conduct, policies, and procedures.*
Complete straining requirements in a timely manner.*
Attendance & Punctuality *
Utilizes time effectively *
Manager Comments*
Signature*

Clear
Date*

MonthDayYear
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