90-Day Check-in Form

90-Day Check-in Form
Employee Name*
Date*

MonthDayYear
Date
Manager Name *
Department*
Manager
1. What does this person say and do that makes them effective and able to add value? How do they demonstrate FUCA (Focus, Urgency, Collaboration, and Accountability) in their work? Please include examples.
2. What could this person start, do more of, do less of, or stop doing to be more effective and have a stronger impact?
3. What are your ideas or recommendations for helping this person with their growth and development? What feedback could help them further improve their Focus, Urgency, Collaboration, and Accountability?
4. Comments:
Rating:

Meets Expectations (Successful)Does Not Meet Expectations
Should be Empty:

Manager