Staff Evaluation Employee name * Your name * Job Knowldege * [0] Additional effort is needed to improve job knowledge [1] Job knowledge sufficient to accomplish most duties, supervision and oversight is sometimes needed [2] Well informed on most job aspects. Meets normal requirements; needs guidance on unusual matters [3] Excellent knowledge of all aspects of the job including unusual matters. Requires no direction [4] Exceptional understanding of the job. Well informed on all phases of the position and of practice Quality of Work * [0] Quality of work is at or below minimum [1] Quality of work is good; on par with peers [2] Produces high quality of work; noticeably better than most peers [3] Quality of work is clearly and consistently superior and timely Quantity of Work * [0] Quantity of work is at or below minimum [1] Quantity of work is good; on par with peers [2] Produces high quantity of work; manages to get more done then most peers [3] Quantity of work is clearly and consistently superior and timely Attention to Detail * [0] Demonstrates poor attention to detail [1] Demonstrates "usually good" attention to detail [2] Demonstrates "consistently good" attention to detail. Do others seek advice from this employee * [0] No [1] Yes, other seek out this employee for advice Follow through * [-1] Employee rarely if ever follows through on a task or encounter [1] Employee has been known to follow through on tasks or encounters - shows concern for completion [2] Employee often actively follows through on the majority of tasks and encounters - takes ownership Is this employee confident enough to make decisions * [0] No [1] Yes, this employee is confident enough to make decisions Decision making * [0] Decisions or recommendations often wrong or ineffective [1] Usually shows good judgment resulting from sound evaluation of factors [2] Sound, logical thinker; considers all factors to reach accurate conclusions Initiative * [0] Poor to no initiative; rarely seeks out additional work when slow [1] Good initiative but only offers help within "comfort zone" [2] Strong initiative; has been known to offer help where ever needed even when inconvenient Attitude Towards Supervision and Organization Appearance * [0] Sometimes, this employee's appearance could be more appropriate or professional - less than adequate [1] This employee's appearance is adequate. It is on par with peers Absenteeism * [-1] Has violated practice attendance policy at least once [0] Attendance and "being on the job" meet minimum requirements - absent more then peers [2] Rarely absent and absence is always for good cause [3] Displays attitude that job comes first. Anticipates and takes extra steps to be available when needed. Friendliness * [0] Employee is not often described as "very friendly and nice to patients" [2] Employee can usually be described as "very friendly and nice to patients" [3] Employee can always be described as "very friendly and nice to patients" Commication * [-1] Does not communicate with supervisor or physicians - uncooperative [0] Moderately cooperative and communicative with supervisor/physicians; employee can be challenging [1] Generally cooperative and communicative with supervisor/physicians - feedback freely given [2] Always keeps supervisor/physician well informed. Supervisor/physician feels "supported" Accepting responsibility * [-1] Will not accept responsibilities as directed [1] Accepts direction and responsibility [2] Eagerly accepts direction and responsibility Attitude * [1] Yes, shows "positive attitude" towards supervision by smiling, quick response to direction, and warmth [0] No, does not Focus on Work * [-1] Employee's personal affairs have taken precedence over job duties while on the job [1] Employee can seem distracted while on the job [2] Employee seems focused on the job; doesn't allow personal affairs to interrupt work Supporting the Practice * [0] Employees does not do much extra to support practice or its mission [1] Employee does work at supporting the practice and its mission [2] Evaluator can cite at least one instance where employee went out of the way to support practice Relationships * [-1] Rubs people the wrong way, does not cooperate with others, or causes dissention [0] Sometimes has difficulty in getting along with others and does not support peers [1] Carries out some relationships effectively but sometimes has difficulty in getting along with others [2] Carries out most relationships effectively and gets along well with people under normal circumstances [3] Carries out most relationships effectively and has been known to provide emotional support to peers [4] Actively works to promote harmony, an employee one wants to be around, a very good team worker Versatility and Growth Potential Interest in Growth * [0] Seems uninterested in growth within practice [1] Exhibits interest in maintaining current level of expertise [2] Exhibits interest in expanding personal growth and skills improvement Quick Learner * [0] Instructions sometimes must be repeated [1] Grasps instructions readily [2] An extremely quick learner Adaptability * [0] Does not adapt well to changes in conditions or work requirements [1] Adapts well to changing conditions or work requirements [2] Seems eager to meet the challenge of changing conditions and work requirements Confidence * [0] Employee is not confident, nor elicits a feeling of trust from peers or patients [1] Employee can at times project confidence and elicit a feeling of trust from peers and patients [2] Employee always projects confidence, elicits a feeling of trust, and is not easily flustered Problem Solving * [0] Employee has presented problems without analysis or possible solutions [1] Employee has shown willingness to analyze and offer solutions to problems [2] Employee has successfully and appropriately faced, analyzed and solved problems Thank you!
