Town of Anywhere
EMPLOYEE PERFORMANCE ASSESSMENT FORM
EMPLOYEE’S NAME: ______DATE OF ASSESSMENT:______
LOCATION: ______JOB TITLE: ______
ASSESSMENT PERIOD: ______
Reason for Performance Assessment:
Probation ______Regular Annual: ______
Other (specify): ______
Listed below are a number of traits, abilities and characteristics that are important for success in business. Place an “x” mark on each rating scale, over the descriptive phrase which most nearly describes the person being rated. Any related comments can be made on spaces following each rating.
ACCURACY - the correctness of work duties performed.
______
Makes frequent Careless. Makes Usually accurate Requires little Requires absolute
errors. recurrent errors makes only average supervision; is exact minimum of
number of mistakes and precise most supervision;
of the time almost always
______
______
ALERTNESS - the ability to grasp instructions, to meet changing conditions and to solve novel or problem situations.
______
Slow to catch on Requires more than Grasps instructions Usually quick to Exceptionally keen
average instructions with average ability.understand and and alert
and explanations learn
______
______
CREATIVITY - talent for having new ideas, for finding new and better ways of doing things and for being imaginative.
______
Rarely has a Occasionally comes Has average Frequently suggests Continually seeks new
new idea; is up with a new idea imagination; has new ways of doing and better ways of doing
unimaginative. reasonable number things; is very things; is extremely
of new ideas imaginative imaginative.
______
______
FRIENDLINESS - sociability and warmth which an individual imparts in his/her attitude toward customers, other employees, his/her supervisor and persons he/she may supervise.
______
Very distant Approachable; Warm, friendly, Very sociable Extremely sociable
and aloof. friendly once known sociable and outgoing excellent at
by others establishing good will
______
______
PERSONALITY - an individual’s behavior characteristics or his/her suitability for the job.
______
Personality Personality Personality Very desirable Outstanding
unsatisfactory questionable satisfactory personality personality
for this job. or this job. for this job. for this job. for this job.
______
______
PERSONAL APPEARANCE - the personal impression an individual makes on others (consider cleanliness, grooming, neatness and appropriateness of dress on the job)
______
Very untidy; Sometimes untidy Generally neat Careful about Unusually well
poor taste in and careless about and clean; personal groomed, very neat
dress. personal appearance satisfactoryappearance; excellent taste
appearance good taste. in dress
______
______
PHYSICAL FITNESS - the ability to work consistently and with only moderate fatigue.(consider physical alertness and energy.)
______
Tires easily; is Frequently tires Meets physical and Energetic; Excellent health;
weak and frail and is slow energy requirements seldom tires no fatigue.
______
______
ATTENDANCE - faithfulness in coming to work daily and confirming to work hours.
______
Often absent without Lax in attendance Usually present Very prompt; Always regular
good excuse and/or and/or reporting and on time regular in and prompt;
frequently reports for for work on time attendance volunteers for
work late. Overtime when needed
______
______
HOUSEKEEPING - the orderliness and cleanliness in which an individual keeps his/her work area.
______
Disorderly or Some tendency to be Ordinarily keeps Quite conscientious Unusually neat,
untidy. careless and untidy. work area fairly about neatness clean and orderly.
neat. and cleanliness.
______
______
DEPENDABILITY - the ability to do required jobs well with a minimum of supervision
______
Requires close Sometimes Usually takes care Requires little Requires absolute
supervision; is requires of necessary tasks supervision; minimum of
unreliable. prompting. and completed with is reliable. supervision.
reasonable promptness
______
______
DRIVE - the desire to attain goals, to achieve.
______
Has poorly defined Sets goals too Has average goals Strives hard; Sets high goals
goals and acts without low; puts forth and usually puts has high desire and strives
purpose; puts forth little effort forth effort to to achieve. incessantly to
practically no effort. to achieve. reach these. reach these.
______
______
JOB KNOWLEDGE - the information concerning work duties which an individual should know for a satisfactory job performance.
______
Poorly informed Lacks knowledge Moderately Understands all Has complete
about work of some phases informed; can phases of work. mastery of all
duties. of work. answer most phases of job.
common questions.
______
______
QUANTITY OF WORK - the amount of work an individual does in a work day.
______
Does not meet Does just enough Volume of work Very industrious; Superior work
minimum to get by. is satisfactory does more than production record.
requirements is required
______
______
STABILITY - the ability to withstand pressure and to remain calm in crisis situations.
______
Goes “to pieces” under Occasionally “blows Has average tolerance Tolerates most Thrives under
pressure; is jump and up” under pressure; for crises; usually pressure; very good pressure; really
nervous.is easily irritated. remains calm. tolerance for crises. enjoys solving crises.
______
______
COURTESY - polite attention given to other people.
______
Blunt; discourteous; Sometimes Agreeable Always very polite Inspiring to others
antagonistic tactless. and pleasant. and willing to help in being courteous
______
______
OVERALL EVALUATION - in comparison with other employees with the same length of service on this job.
______
Definitely Substandard Doing an Definitely Outstanding
unsatisfactory making progress average job. above average
COMMENTS
COMMENDATIONS:
______
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______
______
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SUGGESTIONS FOR IMPROVEMENTS:
______
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Rated by: ______
(Name)(Date)
EMPLOYEE COMMENTS/REMARKS
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______
______
______
______
______
A copy of this Report has been given to me and has been discussed with me.
______
Employee Signature Date
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