Performance Evaluation
[completed by Manager]
Plaza Drug Specialty Care
707 N. Laurel Rd, London, KY 40741
Ph: 606.864.4445 Fax: 606.864.1348
Employee Name
*
Title
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Supervisor's Name
*
Title
*
Review Period
*
Review Date
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-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Evaluation of Skills
*
Rows
Very Poor
Not Satisfactory
Average
Satisfactory
Excellent
N/A
Knowledge/Skill Set
Quality of Work
Attitude
Productivity and Efficiency
Reliability and Dependability
Collaboration and Teamwork
Communication
Leadership
Growth Plan: List new roles and responsibilities and/or improvement goals.
*
Submit
Should be Empty: