Evaluator Performance Review Form

Veterinary Team Member Performance Review

Employee Self Review- Please fill out the information below.
Part 2 | Personnel Evaluation Form
Instructions- Evaluator should complete but only after reading and taking into consideration the empoyee's self review section.
Evaluation Type
Employee Name/Title
Position
Evaluator Name/Title
Date

MonthDayYear
Date
DEPENDABILITY
Evaluator’s Comments
ATTENDANCE
Evaluator’s Comments
PRODUCTIVITY & INITIATIVE
Evaluator’s Comments
COMMUNICATION
Evaluator’s Comments
CREATIVITY & PROBLEM-SOLVING SKILLS
Evaluator’s Comments
DECISION-MAKING ABILITY
Evaluator’s Comments
QUALITY OF WORK
Evaluator’s Comments
STRESS MANAGEMENT
Evaluator’s Comments
WORKING RELATIONSHIPS: ALL TEAM MEMBERS
Evaluator’s Comments
CLIENT COMMUNICATION
Evaluator’s Comments
Patient Care
Evaluator’s Comments
Medical Documentation
Evaluator’s Comments
Hospital Core Values
Evaluator’s Comments
Overall Areas of Strength:
Overall Areas to Improve:
Evaluator: Tally the ratings and circle the appropriate evaluation number based on the most frequent score.
Overall Evaluation Rating
Instructions- Goals Worksheet- Employee and Evaluator should work together to create goals and record them below.
Please List SMART goals and objectives this employee is expected to achieve during the next appraisal period. SMART goals are Specific, Measurable, Achievable, Realistic, and Time based. For example: Learn to place and maintain an indwelling catheter in the next 3 months; increase production [number] % by next quarter; improve history taking by asking 3 open-ended questions; consistently ask clients to schedule next appointments during check-out.
Goal 1
Goal 1 Description
Goal 2
Goal 2 Description
Goal 3
Goal 3 Description
Goal 4
Goal 4 Description
Goal 5
Goal 5 Description
Goal 6
Goal 6 Description
Part 3 | Goal Setting & Performance Review Acknowledgment
Employee Name/Title
Employee Signature
Evaluator Name/Title
Evaluator Performance Review Acknowledgment
Meeting Date

MonthDayYear
Date
Should be Empty:

Veterinary Team Member Performance Review

Part 2 | Personnel Evaluation Form