Performance Evaluation Form (Medical

Representative)
Employee Name :
Part A:

Score Table:
Exceeds Expectations (Best) (4) Meets Expectations (Good)
(3)
Meets Minimal Requirements (Average) (2) Unable to meet Requirements
(Poor) (1)

Self ASMs RSMs

Rating Factors
Rating Rating Rating
Personal Traits 3
1. Versatility 4
2. Interaction with Staff members 4
3. Honesty 4
Job Competency
1. Achievement of Sales Target 4
2. Doctors Selection 4
3. Feedback on Competition 4
4. Profiling Doctors 3
5. Retail Chemist Audit 3
6. Assistance in Establishing Distribution Network 3
7. Submission of Daily Reports 4
8. Presentation Dress Code, Hygiene etc. 4
9. Product Knowledge 4
10. Relational Skill 3
11. Regularity of Visit 3
12. Persuasion 3
13. Follows Doctor / Product Matrix 3
14. Market Knowledge 4
15. Confidence & Persistence 3
16. Problem Solving Skills 4
17. Promptness in Submitting Reports 3
General Attitude
1. Punctuality 3
2. Attendance 4
3. Communication skills 4
4. Decision Making skills 4
5. Commitment to work 4

Total 93

Part B:
 Performance Evaluation Form (Medical
Representative)
1. Target for the Year :

2. Last Year Sales :

3. Current Year Sales :

4. % to Target :

5. Growth: A. Primary : B. Secondary:

6. Award Received (If Any) :

1) What motivates you,

a) Increment 1 e) Recognition

b) Secure Employment f) Creative and Challenging work
c) Designation g) Role Expansion
d) Promotion h) Training and Development

2) Is there any Grievance that you wish to bring to the notice of the Management? (Please
do not hesitate, if genuine, the same will be looked into)

3) What sort of training/experience would benefit you in the next year?

4) Any Suggestions:

ASM Signature: Date:

Remark:

RSM Signature: Date:

Remark: