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
*
Supervisor's Name
*
Title
*
Review Period
*
Review Date
*
-
Month
-
Day
Year
Date
Evaluation of Skills
*
Very Poor
Not Satisfactory
Average
Satisfactory
Excellent
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.
*
Eligible for Raise
Yes
No
Contingent
Submit
Should be Empty: