efw5hrtqwdRepublic of the Philippines

NORTHWEST SAMAR STATE UNIVERSITY

Main Campus, Calbayog City
INFRASTRUCTURE PROJECT MANAGEMENT COMMITTEE PERFORMANCE EVALUATION

SUBORDINATE EVALUATION FORM

Name of Subordinate:_______________________________ Present Position:______________________________________________ Rating Period: ______________________

Instruction:
1. This form is used for evaluating your own performance in this rating period. Please use pen or ballpen in accomplishing this form.
2. Please observe fairness and objectivity when rating subordinate.
3. In rating subordinate, encircle the number that most objectively represents his/her level of performance guided by the definitions of rating for each factor.
Please use the scale shown. 5 – Outstanding 4 – Very Satisfactory 3 – Satisfactory
4. After accomplishing this form, please affix your signature in the space provided for and submit it to the higher supervisor.

ACCOMPLISHMENT OF WORK (70%) SUPERVISOR RELATIONS (15%) COURTESY & PUBLIC RELATIONS (15%)
How would you assess your overall performance of your Please rate your subordinate in manner by which In your observations, how would you rate your
subordinate in achieving his/her targets? he/she relates to his/her supervisor. subordinate’s behavior, manner of speech and
actuations in dealing with the public/clientele?

5 Attains exceptional level of achievement.
Accomplishment exceed targets by 15%.
4 Attains level of achievement more than
adequate but fails short by being exceptional.
Accomplishment exceed targets by 10%.
3 Attains level of achievement; meets targets
as planned and exceeds it up to 5%.
5 Gets along easily; always demonstrates
concerns for his/her supervisor; initiates
team effort works and harmonious working
relationships.
4 Generally friendly and helpful to the
concerns of his/her supervisor.
3 Normally friendly at times ask supports
and advices from supervisor.
5 Always make all the way to make
people comfortable and satisfied even
pressure and occupied with work.
4 Usually goes out of the way even when
occupied with work in giving assistance
to the public.
3 Normally goes out of the way and
assist the public.

Signature of Evaluator: ___________________________________

Name of Evaluator: ______________________________________
Position of Evaluator: _____________________________________
 Republic of the Philippines
NORTHWEST SAMAR STATE UNIVERSITY
Main Campus, Calbayog City
INFRASTRUCTURE PROJECT MANAGEMENT COMMITTEE PERFORMANCE EVALUATION

SELF EVALUATION FORM

Name: ________________________________________ Present Position: ______________________________________________ Rating Period: _______________________

Instruction:
1. This form is used for evaluating your own performance in this rating period. Please use pen or ballpen in accomplishing this form.
2. Please observe fairness and objectivity when rating yourself.
3. In rating yourself, encircle the number that most objectively represents your level of performance guided by the definitions of rating for each factor.
Please use the scale shown. 5 – Outstanding 4 – Very Satisfactory 3 – Satisfactory
4. After accomplishing this form, please affix your signature in the space provided for and submit it to the higher supervisor.

ACCOMPLISHMENT OF WORK (70%) SUBORDINATE RELATIONS (15%) COURTESY & PUBLIC RELATIONS (15%)
How would you assess your overall performance in Please rate yourself in manner by which you In your observations, how would you rate
achieving your targets? relate to your subordinates. your behavior, manner of speech and
actuations in dealing with the public/clientele?

5 Attains exceptional level of achievement.
Accomplishment exceed targets by 15%.
4 Attains level of achievement more than
adequate but fails short by being exceptional.
Accomplishment exceed targets by 10%.
3 Attains level of achievement; meets targets
as planned and exceeds it up to 5%.
5 Gets along easily; always demonstrates
concerns for your subordinates; initiates
team effort works and harmonious working
relationships.
4 Generally friendly and helpful to the
concerns of your subordinates.
3 Normally friendly at times ask supports
and advices from subordinates.
5 Always make all the way to make
people comfortable and satisfied even
pressure and occupied with work.
4 Usually goes out of the way even when
occupied with work in giving assistance
to the public.
3 Normally goes out of the way and
assist the public.

Signature of Evaluator: ___________________________________

Name of Evaluator: ______________________________________
Position of Evaluator: _____________________________________
 Republic of the Philippines
NORTHWEST SAMAR STATE UNIVERSITY
Main Campus, Calbayog City
INFRASTRUCTURE PROJECT MANAGEMENT COMMITTEE PERFORMANCE EVALUATION

SELF EVALUATION FORM

Name: ________________________________________ Present Position: ______________________________________________ Rating Period: _______________________

Instruction:
1. This form is used for evaluating your own performance in this rating period. Please use pen or ballpen in accomplishing this form.
2. Please observe fairness and objectivity when rating yourself.
3. In rating yourself, encircle the number that most objectively represents your level of performance guided by the definitions of rating for each factor.
Please use the scale shown. 5 – Outstanding 4 – Very Satisfactory 3 – Satisfactory
4. After accomplishing this form, please affix your signature in the space provided for and submit it to the higher supervisor.

ACCOMPLISHMENT OF WORK (70%) SUBORDINATE RELATIONS (15%) COURTESY & PUBLIC RELATIONS (15%)
How would you assess your overall performance in Please rate yourself in manner by which you In your observations, how would you rate
achieving your targets? relate to your subordinates. your behavior, manner of speech and
actuations in dealing with the public/clientele?

5 Attains exceptional level of achievement.
Accomplishment exceed targets by 15%.
4 Attains level of achievement more than
adequate but fails short by being exceptional.
Accomplishment exceed targets by 10%.
3 Attains level of achievement; meets targets
as planned and exceeds it up to 5%.
5 Gets along easily; always demonstrates
concerns for your subordinates; initiates
team effort works and harmonious working
relationships.
4 Generally friendly and helpful to the
concerns of your subordinates.
3 Normally friendly at times ask supports
and advices from subordinates.
5 Always make all the way to make
people comfortable and satisfied even
pressure and occupied with work.
4 Usually goes out of the way even when
occupied with work in giving assistance
to the public.
3 Normally goes out of the way and
assist the public.

Signature of Evaluator: ___________________________________

Name of Evaluator: ______________________________________
Position of Evaluator: _____________________________________
 Republic of the Philippines
NORTHWEST SAMAR STATE UNIVERSITY
Main Campus, Calbayog City
INFRASTRUCTURE PROJECT MANAGEMENT COMMITTEE PERFORMANCE EVALUATION

SELF EVALUATION FORM

Name: ________________________________________ Present Position: ______________________________________________ Rating Period: _______________________

Instruction:
1. This form is used for evaluating your own performance in this rating period. Please use pen or ballpen in accomplishing this form.
2. Please observe fairness and objectivity when rating yourself.
3. In rating yourself, encircle the number that most objectively represents your level of performance guided by the definitions of rating for each factor.
Please use the scale shown. 5 – Outstanding 4 – Very Satisfactory 3 – Satisfactory
4. After accomplishing this form, please affix your signature in the space provided for and submit it to the higher supervisor.

ACCOMPLISHMENT OF WORK (70%) SUBORDINATE RELATIONS (15%) COURTESY & PUBLIC RELATIONS (15%)
How would you assess your overall performance in Please rate yourself in manner by which you In your observations, how would you rate
achieving your targets? relate to your subordinates. your behavior, manner of speech and
actuations in dealing with the public/clientele?

5 Attains exceptional level of achievement.
Accomplishment exceed targets by 15%.
4 Attains level of achievement more than
adequate but fails short by being exceptional.
Accomplishment exceed targets by 10%.
3 Attains level of achievement; meets targets
as planned and exceeds it up to 5%.
5 Gets along easily; always demonstrates
concerns for your subordinates; initiates
team effort works and harmonious working
relationships.
4 Generally friendly and helpful to the
concerns of your subordinates.
3 Normally friendly at times ask supports
and advices from subordinates.
5 Always make all the way to make
people comfortable and satisfied even
pressure and occupied with work.
4 Usually goes out of the way even when
occupied with work in giving assistance
to the public.
3 Normally goes out of the way and
assist the public.

Signature of Evaluator: ___________________________________

Name of Evaluator: ______________________________________
Position of Evaluator: _____________________________________
 Republic of the Philippines
NORTHWEST SAMAR STATE UNIVERSITY
Main Campus, Calbayog City
INFRASTRUCTURE PROJECT MANAGEMENT COMMITTEE PERFORMANCE EVALUATION

SELF EVALUATION FORM

Name: ________________________________________ Present Position: ______________________________________________ Rating Period: _______________________

Instruction:
1. This form is used for evaluating your own performance in this rating period. Please use pen or ballpen in accomplishing this form.
2. Please observe fairness and objectivity when rating yourself.
3. In rating yourself, encircle the number that most objectively represents your level of performance guided by the definitions of rating for each factor.
Please use the scale shown. 5 – Outstanding 4 – Very Satisfactory 3 – Satisfactory
4. After accomplishing this form, please affix your signature in the space provided for and submit it to the higher supervisor.

ACCOMPLISHMENT OF WORK (70%) SUBORDINATE RELATIONS (15%) COURTESY & PUBLIC RELATIONS (15%)
How would you assess your overall performance in Please rate yourself in manner by which you In your observations, how would you rate
achieving your targets? relate to your subordinates. your behavior, manner of speech and
actuations in dealing with the public/clientele?

5 Attains exceptional level of achievement.
Accomplishment exceed targets by 15%.
4 Attains level of achievement more than
adequate but fails short by being exceptional.
Accomplishment exceed targets by 10%.
3 Attains level of achievement; meets targets
as planned and exceeds it up to 5%.
5 Gets along easily; always demonstrates
concerns for your subordinates; initiates
team effort works and harmonious working
relationships.
4 Generally friendly and helpful to the
concerns of your subordinates.
3 Normally friendly at times ask supports
and advices from subordinates.
5 Always make all the way to make
people comfortable and satisfied even
pressure and occupied with work.
4 Usually goes out of the way even when
occupied with work in giving assistance
to the public.
3 Normally goes out of the way and
assist the public.

Signature of Evaluator: ___________________________________

Name of Evaluator: ______________________________________
Position of Evaluator: _____________________________________
 Republic of the Philippines
NORTHWEST SAMAR STATE UNIVERSITY
Main Campus, Calbayog City
INFRASTRUCTURE PROJECT MANAGEMENT COMMITTEE PERFORMANCE EVALUATION

SUBORDINATE EVALUATION FORM

Name of Subordinate:_______________________________ Present Position:______________________________________________ Rating Period: ______________________

Instruction:
5. This form is used for evaluating your own performance in this rating period. Please use pen or ballpen in accomplishing this form.
6. Please observe fairness and objectivity when rating subordinate.
7. In rating subordinate, encircle the number that most objectively represents his/her level of performance guided by the definitions of rating for each factor.
Please use the scale shown. 5 – Outstanding 4 – Very Satisfactory 3 – Satisfactory
8. After accomplishing this form, please affix your signature in the space provided for and submit it to the higher supervisor.

ACCOMPLISHMENT OF WORK (70%) SUPERVISOR RELATIONS (15%) COURTESY & PUBLIC RELATIONS (15%)
How would you assess your overall performance of your Please rate your subordinate in manner by which In your observations, how would you rate your
subordinate in achieving his/her targets? he/she relates to his/her supervisor. subordinate’s behavior, manner of speech and
actuations in dealing with the public/clientele?

5 Attains exceptional level of achievement.
Accomplishment exceed targets by 15%.
4 Attains level of achievement more than
adequate but fails short by being exceptional.
Accomplishment exceed targets by 10%.
3 Attains level of achievement; meets targets
as planned and exceeds it up to 5%.
5 Gets along easily; always demonstrates
concerns for his/her supervisor; initiates
team effort works and harmonious working
relationships.
4 Generally friendly and helpful to the
concerns of his/her supervisor.
3 Normally friendly at times ask supports
and advices from supervisor.
5 Always make all the way to make
people comfortable and satisfied even
pressure and occupied with work.
4 Usually goes out of the way even when
occupied with work in giving assistance
to the public.
3 Normally goes out of the way and
assist the public.

Signature of Evaluator: ___________________________________

Name of Evaluator: ______________________________________
Position of Evaluator: _____________________________________
 Republic of the Philippines
NORTHWEST SAMAR STATE UNIVERSITY
Main Campus, Calbayog City
INFRASTRUCTURE PROJECT MANAGEMENT COMMITTEE PERFORMANCE EVALUATION

SUBORDINATE EVALUATION FORM

Name of Subordinate:_______________________________ Present Position:______________________________________________ Rating Period: ______________________

Instruction:
1. This form is used for evaluating your own performance in this rating period. Please use pen or ballpen in accomplishing this form.
2. Please observe fairness and objectivity when rating subordinate.
3. In rating subordinate, encircle the number that most objectively represents his/her level of performance guided by the definitions of rating for each factor.
Please use the scale shown. 5 – Outstanding 4 – Very Satisfactory 3 – Satisfactory
4. After accomplishing this form, please affix your signature in the space provided for and submit it to the higher supervisor.

ACCOMPLISHMENT OF WORK (70%) SUPERVISOR RELATIONS (15%) COURTESY & PUBLIC RELATIONS (15%)
How would you assess your overall performance of your Please rate your subordinate in manner by which In your observations, how would you rate your
subordinate in achieving his/her targets? he/she relates to his/her supervisor. subordinate’s behavior, manner of speech and
actuations in dealing with the public/clientele?

5 Attains exceptional level of achievement.
Accomplishment exceed targets by 15%.
4 Attains level of achievement more than
adequate but fails short by being exceptional.
Accomplishment exceed targets by 10%.
3 Attains level of achievement; meets targets
as planned and exceeds it up to 5%.
5 Gets along easily; always demonstrates
concerns for his/her supervisor; initiates
team effort works and harmonious working
relationships.
4 Generally friendly and helpful to the
concerns of his/her supervisor.
3 Normally friendly at times ask supports
and advices from supervisor.
5 Always make all the way to make
people comfortable and satisfied even
pressure and occupied with work.
4 Usually goes out of the way even when
occupied with work in giving assistance
to the public.
3 Normally goes out of the way and
assist the public.

Signature of Evaluator: ___________________________________

Name of Evaluator: ______________________________________
Position of Evaluator: _____________________________________
 Republic of the Philippines
NORTHWEST SAMAR STATE UNIVERSITY
Main Campus, Calbayog City
INFRASTRUCTURE PROJECT MANAGEMENT COMMITTEE PERFORMANCE EVALUATION

SUBORDINATE EVALUATION FORM

Name of Subordinate:_______________________________ Present Position:______________________________________________ Rating Period: ______________________

Instruction:
1. This form is used for evaluating your own performance in this rating period. Please use pen or ballpen in accomplishing this form.
2. Please observe fairness and objectivity when rating subordinate.
3. In rating subordinate, encircle the number that most objectively represents his/her level of performance guided by the definitions of rating for each factor.
Please use the scale shown. 5 – Outstanding 4 – Very Satisfactory 3 – Satisfactory
4. After accomplishing this form, please affix your signature in the space provided for and submit it to the higher supervisor.

ACCOMPLISHMENT OF WORK (70%) SUPERVISOR RELATIONS (15%) COURTESY & PUBLIC RELATIONS (15%)
How would you assess your overall performance of your Please rate your subordinate in manner by which In your observations, how would you rate your
subordinate in achieving his/her targets? he/she relates to his/her supervisor. subordinate’s behavior, manner of speech and
actuations in dealing with the public/clientele?

5 Attains exceptional level of achievement.
Accomplishment exceed targets by 15%.
4 Attains level of achievement more than
adequate but fails short by being exceptional.
Accomplishment exceed targets by 10%.
3 Attains level of achievement; meets targets
as planned and exceeds it up to 5%.
5 Gets along easily; always demonstrates
concerns for his/her supervisor; initiates
team effort works and harmonious working
relationships.
4 Generally friendly and helpful to the
concerns of his/her supervisor.
3 Normally friendly at times ask supports
and advices from supervisor.
5 Always make all the way to make
people comfortable and satisfied even
pressure and occupied with work.
4 Usually goes out of the way even when
occupied with work in giving assistance
to the public.
3 Normally goes out of the way and
assist the public.

Signature of Evaluator: ___________________________________

Name of Evaluator: ______________________________________
Position of Evaluator: _____________________________________
 Republic of the Philippines
NORTHWEST SAMAR STATE UNIVERSITY
Main Campus, Calbayog City
INFRASTRUCTURE PROJECT MANAGEMENT COMMITTEE PERFORMANCE EVALUATION

SUBORDINATE EVALUATION FORM

Name of Subordinate:_______________________________ Present Position:______________________________________________ Rating Period: ______________________

Instruction:
1. This form is used for evaluating your own performance in this rating period. Please use pen or ballpen in accomplishing this form.
2. Please observe fairness and objectivity when rating subordinate.
3. In rating subordinate, encircle the number that most objectively represents his/her level of performance guided by the definitions of rating for each factor.
Please use the scale shown. 5 – Outstanding 4 – Very Satisfactory 3 – Satisfactory
4. After accomplishing this form, please affix your signature in the space provided for and submit it to the higher supervisor.

ACCOMPLISHMENT OF WORK (70%) SUPERVISOR RELATIONS (15%) COURTESY & PUBLIC RELATIONS (15%)
How would you assess your overall performance of your Please rate your subordinate in manner by which In your observations, how would you rate your
subordinate in achieving his/her targets? he/she relates to his/her supervisor. subordinate’s behavior, manner of speech and
actuations in dealing with the public/clientele?

5 Attains exceptional level of achievement.
Accomplishment exceed targets by 15%.
4 Attains level of achievement more than
adequate but fails short by being exceptional.
Accomplishment exceed targets by 10%.
3 Attains level of achievement; meets targets
as planned and exceeds it up to 5%.
5 Gets along easily; always demonstrates
concerns for his/her supervisor; initiates
team effort works and harmonious working
relationships.
4 Generally friendly and helpful to the
concerns of his/her supervisor.
3 Normally friendly at times ask supports
and advices from supervisor.
5 Always make all the way to make
people comfortable and satisfied even
pressure and occupied with work.
4 Usually goes out of the way even when
occupied with work in giving assistance
to the public.
3 Normally goes out of the way and
assist the public.

Signature of Evaluator: ___________________________________

Name of Evaluator: ______________________________________
Position of Evaluator: _____________________________________
 Republic of the Philippines
NORTHWEST SAMAR STATE UNIVERSITY
Main Campus, Calbayog City
INFRASTRUCTURE PROJECT MANAGEMENT COMMITTEE PERFORMANCE EVALUATION

PEER EVALUATION FORM

Name of Peer:_______________________________ Present Position: ______________________________________________ Rating Period: _______________________

Instruction:
1. This form is used for evaluating your own performance in this rating period. Please use pen or ballpen in accomplishing this form.
2. Please observe fairness and objectivity when rating your peer.
3. In rating your peer, encircle the number that most objectively represents his/her level of performance guided by the definitions of rating for each factor.
Please use the scale shown. 5 – Outstanding 4 – Very Satisfactory 3 – Satisfactory
4. After accomplishing this form, please affix your signature in the space provided for and submit it to the higher supervisor.

ACCOMPLISHMENT OF WORK (70%) PEER RELATIONS (15%) COURTESY & PUBLIC RELATIONS (15%)
How would you assess your overall performance of your Please rate your peer in manner by which In your observations, how would you rate your
peer in achieving his/her targets? he/she relates to you and other peers. peer’s behavior, manner of speech and
actuations in dealing with the public/clientele?

5 Attains exceptional level of achievement.
Accomplishment exceed targets by 15%.
4 Attains level of achievement more than
adequate but fails short by being exceptional.
Accomplishment exceed targets by 10%.
3 Attains level of achievement; meets targets
as planned and exceeds it up to 5%.
5 Gets along easily; always demonstrates
concerns for his/her peers; initiates
team effort works and harmonious working
relationships.
4 Generally friendly and helpful to the
concerns of his/her peers.
3 Normally friendly at times ask supports
and advices from peers.
5 Always make all the way to make
people comfortable and satisfied even
pressure and occupied with work.
4 Usually goes out of the way even when
occupied with work in giving assistance
to the public.
3 Normally goes out of the way and
assist the public.

Signature of Evaluator: ___________________________________

Name of Evaluator: ______________________________________
Position of Evaluator: _____________________________________
 Republic of the Philippines
NORTHWEST SAMAR STATE UNIVERSITY
Main Campus, Calbayog City
INFRASTRUCTURE PROJECT MANAGEMENT COMMITTEE PERFORMANCE EVALUATION

PEER EVALUATION FORM

Name of Peer:_______________________________ Present Position: ______________________________________________ Rating Period: _______________________

Instruction:
1. This form is used for evaluating your own performance in this rating period. Please use pen or ballpen in accomplishing this form.
2. Please observe fairness and objectivity when rating your peer.
3. In rating your peer, encircle the number that most objectively represents his/her level of performance guided by the definitions of rating for each factor.
Please use the scale shown. 5 – Outstanding 4 – Very Satisfactory 3 – Satisfactory
4. After accomplishing this form, please affix your signature in the space provided for and submit it to the higher supervisor.

ACCOMPLISHMENT OF WORK (70%) PEER RELATIONS (15%) COURTESY & PUBLIC RELATIONS (15%)
How would you assess your overall performance of your Please rate your peer in manner by which In your observations, how would you rate your
peer in achieving his/her targets? he/she relates to you and other peers. peer’s behavior, manner of speech and
actuations in dealing with the public/clientele?

5 Attains exceptional level of achievement.
Accomplishment exceed targets by 15%.
4 Attains level of achievement more than
adequate but fails short by being exceptional.
Accomplishment exceed targets by 10%.
3 Attains level of achievement; meets targets
as planned and exceeds it up to 5%.
5 Gets along easily; always demonstrates
concerns for his/her peers; initiates
team effort works and harmonious working
relationships.
4 Generally friendly and helpful to the
concerns of his/her peers.
3 Normally friendly at times ask supports
and advices from peers.
5 Always make all the way to make
people comfortable and satisfied even
pressure and occupied with work.
4 Usually goes out of the way even when
occupied with work in giving assistance
to the public.
3 Normally goes out of the way and
assist the public.

Signature of Evaluator: ___________________________________

Name of Evaluator: ______________________________________
Position of Evaluator: _____________________________________
 Republic of the Philippines
NORTHWEST SAMAR STATE UNIVERSITY
Main Campus, Calbayog City
INFRASTRUCTURE PROJECT MANAGEMENT COMMITTEE PERFORMANCE EVALUATION

PEER EVALUATION FORM

Name of Peer:_______________________________ Present Position: ______________________________________________ Rating Period: _______________________

Instruction:
1. This form is used for evaluating your own performance in this rating period. Please use pen or ballpen in accomplishing this form.
2. Please observe fairness and objectivity when rating your peer.
3. In rating your peer, encircle the number that most objectively represents his/her level of performance guided by the definitions of rating for each factor.
Please use the scale shown. 5 – Outstanding 4 – Very Satisfactory 3 – Satisfactory
4. After accomplishing this form, please affix your signature in the space provided for and submit it to the higher supervisor.

ACCOMPLISHMENT OF WORK (70%) PEER RELATIONS (15%) COURTESY & PUBLIC RELATIONS (15%)
How would you assess your overall performance of your Please rate your peer in manner by which In your observations, how would you rate your
peer in achieving his/her targets? he/she relates to you and other peers. peer’s behavior, manner of speech and
actuations in dealing with the public/clientele?

5 Attains exceptional level of achievement.
Accomplishment exceed targets by 15%.
4 Attains level of achievement more than
adequate but fails short by being exceptional.
Accomplishment exceed targets by 10%.
3 Attains level of achievement; meets targets
as planned and exceeds it up to 5%.
5 Gets along easily; always demonstrates
concerns for his/her peers; initiates
team effort works and harmonious working
relationships.
4 Generally friendly and helpful to the
concerns of his/her peers.
3 Normally friendly at times ask supports
and advices from peers.
5 Always make all the way to make
people comfortable and satisfied even
pressure and occupied with work.
4 Usually goes out of the way even when
occupied with work in giving assistance
to the public.
3 Normally goes out of the way and
assist the public.

Signature of Evaluator: ___________________________________

Name of Evaluator: ______________________________________
Position of Evaluator: _____________________________________
 Republic of the Philippines
NORTHWEST SAMAR STATE UNIVERSITY
Main Campus, Calbayog City
INFRASTRUCTURE PROJECT MANAGEMENT COMMITTEE PERFORMANCE EVALUATION

PEER EVALUATION FORM

Name of Peer:_______________________________ Present Position: ______________________________________________ Rating Period: _______________________

Instruction:
1. This form is used for evaluating your own performance in this rating period. Please use pen or ballpen in accomplishing this form.
2. Please observe fairness and objectivity when rating your peer.
3. In rating your peer, encircle the number that most objectively represents his/her level of performance guided by the definitions of rating for each factor.
Please use the scale shown. 5 – Outstanding 4 – Very Satisfactory 3 – Satisfactory
4. After accomplishing this form, please affix your signature in the space provided for and submit it to the higher supervisor.

ACCOMPLISHMENT OF WORK (70%) PEER RELATIONS (15%) COURTESY & PUBLIC RELATIONS (15%)
How would you assess your overall performance of your Please rate your peer in manner by which In your observations, how would you rate your
peer in achieving his/her targets? he/she relates to you and other peers. peer’s behavior, manner of speech and
actuations in dealing with the public/clientele?

5 Attains exceptional level of achievement.
Accomplishment exceed targets by 15%.
4 Attains level of achievement more than
adequate but fails short by being exceptional.
Accomplishment exceed targets by 10%.
3 Attains level of achievement; meets targets
as planned and exceeds it up to 5%.
5 Gets along easily; always demonstrates
concerns for his/her peers; initiates
team effort works and harmonious working
relationships.
4 Generally friendly and helpful to the
concerns of his/her peers.
3 Normally friendly at times ask supports
and advices from peers.
5 Always make all the way to make
people comfortable and satisfied even
pressure and occupied with work.
4 Usually goes out of the way even when
occupied with work in giving assistance
to the public.
3 Normally goes out of the way and
assist the public.

Signature of Evaluator: ___________________________________

Name of Evaluator: ______________________________________
Position of Evaluator: _____________________________________
 Republic of the Philippines
NORTHWEST SAMAR STATE UNIVERSITY
Main Campus, Calbayog City
INFRASTRUCTURE PROJECT MANAGEMENT COMMITTEE PERFORMANCE EVALUATION

SUPERVISOR EVALUATION FORM

Name of Supervisor:_______________________________ Present Position: ______________________________________________ Rating Period: _______________________

Instruction:
1. This form is used for evaluating your own performance in this rating period. Please use pen or ballpen in accomplishing this form.
2. Please observe fairness and objectivity when rating your supervisor.
3. In rating your supervisor, encircle the number that most objectively represents his/her level of performance guided by the definitions of rating for each factor.
Please use the scale shown. 5 – Outstanding 4 – Very Satisfactory 3 – Satisfactory
4. After accomplishing this form, please affix your signature in the space provided for and submit it to the higher supervisor.

ACCOMPLISHMENT OF WORK (70%) SUBORDINATE RELATIONS (15%) COURTESY & PUBLIC RELATIONS (15%)
How would you assess your overall performance of your Please rate your supervisor in manner by which In your observations, how would you rate your
supervisor in achieving his/her targets? he/she relates to you and other subordinates. supervisor’s behavior, manner of speech and
actuations in dealing with the public/clientele?

5 Attains exceptional level of achievement.
Accomplishment exceed targets by 15%.
4 Attains level of achievement more than
adequate but fails short by being exceptional.
Accomplishment exceed targets by 10%.
3 Attains level of achievement; meets targets
as planned and exceeds it up to 5%.
5 Gets along easily; always demonstrates
concerns for his/her subordinates; initiates
team effort works and harmonious working
relationships.
4 Generally friendly and helpful to the
concerns of his/her subordinates.
3 Normally friendly at times ask supports
and advices from subordinates.
5 Always make all the way to make
people comfortable and satisfied even
pressure and occupied with work.
4 Usually goes out of the way even when
occupied with work in giving assistance
to the public.
3 Normally goes out of the way and
assist the public.

Signature of Evaluator: ___________________________________

Name of Evaluator: ______________________________________
Position of Evaluator: _____________________________________
 Republic of the Philippines
NORTHWEST SAMAR STATE UNIVERSITY
Main Campus, Calbayog City
INFRASTRUCTURE PROJECT MANAGEMENT COMMITTEE PERFORMANCE EVALUATION

SUPERVISOR EVALUATION FORM

Name of Supervisor:_______________________________ Present Position: ______________________________________________ Rating Period: _______________________

Instruction:
1. This form is used for evaluating your own performance in this rating period. Please use pen or ballpen in accomplishing this form.
2. Please observe fairness and objectivity when rating your supervisor.
3. In rating your supervisor, encircle the number that most objectively represents his/her level of performance guided by the definitions of rating for each factor.
Please use the scale shown. 5 – Outstanding 4 – Very Satisfactory 3 – Satisfactory
4. After accomplishing this form, please affix your signature in the space provided for and submit it to the higher supervisor.

ACCOMPLISHMENT OF WORK (70%) SUBORDINATE RELATIONS (15%) COURTESY & PUBLIC RELATIONS (15%)
How would you assess your overall performance of your Please rate your supervisor in manner by which In your observations, how would you rate your
supervisor in achieving his/her targets? he/she relates to you and other subordinates. supervisor’s behavior, manner of speech and
actuations in dealing with the public/clientele?

5 Attains exceptional level of achievement.
Accomplishment exceed targets by 15%.
4 Attains level of achievement more than
adequate but fails short by being exceptional.
Accomplishment exceed targets by 10%.
3 Attains level of achievement; meets targets
as planned and exceeds it up to 5%.
5 Gets along easily; always demonstrates
concerns for his/her subordinates; initiates
team effort works and harmonious working
relationships.
4 Generally friendly and helpful to the
concerns of his/her subordinates.
3 Normally friendly at times ask supports
and advices from subordinates.
5 Always make all the way to make
people comfortable and satisfied even
pressure and occupied with work.
4 Usually goes out of the way even when
occupied with work in giving assistance
to the public.
3 Normally goes out of the way and
assist the public.

Signature of Evaluator: ___________________________________

Name of Evaluator: ______________________________________
Position of Evaluator: _____________________________________
 Republic of the Philippines
NORTHWEST SAMAR STATE UNIVERSITY
Main Campus, Calbayog City
INFRASTRUCTURE PROJECT MANAGEMENT COMMITTEE PERFORMANCE EVALUATION

SUPERVISOR EVALUATION FORM

Name of Supervisor:_______________________________ Present Position: ______________________________________________ Rating Period: _______________________

Instruction:
1. This form is used for evaluating your own performance in this rating period. Please use pen or ballpen in accomplishing this form.
2. Please observe fairness and objectivity when rating your supervisor.
3. In rating your supervisor, encircle the number that most objectively represents his/her level of performance guided by the definitions of rating for each factor.
Please use the scale shown. 5 – Outstanding 4 – Very Satisfactory 3 – Satisfactory
4. After accomplishing this form, please affix your signature in the space provided for and submit it to the higher supervisor.

ACCOMPLISHMENT OF WORK (70%) SUBORDINATE RELATIONS (15%) COURTESY & PUBLIC RELATIONS (15%)
How would you assess your overall performance of your Please rate your supervisor in manner by which In your observations, how would you rate your
supervisor in achieving his/her targets? he/she relates to you and other subordinates. supervisor’s behavior, manner of speech and
actuations in dealing with the public/clientele?

5 Attains exceptional level of achievement.
Accomplishment exceed targets by 15%.
4 Attains level of achievement more than
adequate but fails short by being exceptional.
Accomplishment exceed targets by 10%.
3 Attains level of achievement; meets targets
as planned and exceeds it up to 5%.
5 Gets along easily; always demonstrates
concerns for his/her subordinates; initiates
team effort works and harmonious working
relationships.
4 Generally friendly and helpful to the
concerns of his/her subordinates.
3 Normally friendly at times ask supports
and advices from subordinates.
5 Always make all the way to make
people comfortable and satisfied even
pressure and occupied with work.
4 Usually goes out of the way even when
occupied with work in giving assistance
to the public.
3 Normally goes out of the way and
assist the public.

Signature of Evaluator: ___________________________________

Name of Evaluator: ______________________________________
Position of Evaluator: _____________________________________
 Republic of the Philippines
NORTHWEST SAMAR STATE UNIVERSITY
Main Campus, Calbayog City
INFRASTRUCTURE PROJECT MANAGEMENT COMMITTEE PERFORMANCE EVALUATION

SUPERVISOR EVALUATION FORM

Name of Supervisor:_______________________________ Present Position: ______________________________________________ Rating Period: _______________________

Instruction:
1. This form is used for evaluating your own performance in this rating period. Please use pen or ballpen in accomplishing this form.
2. Please observe fairness and objectivity when rating your supervisor.
3. In rating your supervisor, encircle the number that most objectively represents his/her level of performance guided by the definitions of rating for each factor.
Please use the scale shown. 5 – Outstanding 4 – Very Satisfactory 3 – Satisfactory
4. After accomplishing this form, please affix your signature in the space provided for and submit it to the higher supervisor.

ACCOMPLISHMENT OF WORK (70%) SUBORDINATE RELATIONS (15%) COURTESY & PUBLIC RELATIONS (15%)
How would you assess your overall performance of your Please rate your supervisor in manner by which In your observations, how would you rate your
supervisor in achieving his/her targets? he/she relates to you and other subordinates. supervisor’s behavior, manner of speech and
actuations in dealing with the public/clientele?

5 Attains exceptional level of achievement.
Accomplishment exceed targets by 15%.
4 Attains level of achievement more than
adequate but fails short by being exceptional.
Accomplishment exceed targets by 10%.
3 Attains level of achievement; meets targets
as planned and exceeds it up to 5%.
5 Gets along easily; always demonstrates
concerns for his/her subordinates; initiates
team effort works and harmonious working
relationships.
4 Generally friendly and helpful to the
concerns of his/her subordinates.
3 Normally friendly at times ask supports
and advices from subordinates.
5 Always make all the way to make
people comfortable and satisfied even
pressure and occupied with work.
4 Usually goes out of the way even when
occupied with work in giving assistance
to the public.
3 Normally goes out of the way and
assist the public.

Signature of Evaluator: ___________________________________

Name of Evaluator: ______________________________________
Position of Evaluator: _____________________________________
 Republic of the Philippines
NORTHWEST SAMAR STATE UNIVERSITY
Main Campus, Calbayog City
INFRASTRUCTURE PROJECT MANAGEMENT COMMITTEE PERFORMANCE EVALUATION

SUPERVISOR EVALUATION FORM

Name of Supervisor:_______________________________ Present Position: ______________________________________________ Rating Period: _______________________

Instruction:
1. This form is used for evaluating your own performance in this rating period. Please use pen or ballpen in accomplishing this form.
2. Please observe fairness and objectivity when rating your supervisor.
3. In rating your supervisor, encircle the number that most objectively represents his/her level of performance guided by the definitions of rating for each factor.
Please use the scale shown. 5 – Outstanding 4 – Very Satisfactory 3 – Satisfactory
4. After accomplishing this form, please affix your signature in the space provided for and submit it to the higher supervisor.

ACCOMPLISHMENT OF WORK (70%) SUBORDINATE RELATIONS (15%) COURTESY & PUBLIC RELATIONS (15%)
How would you assess your overall performance of your Please rate your supervisor in manner by which In your observations, how would you rate your
supervisor in achieving his/her targets? he/she relates to you and other subordinates. supervisor’s behavior, manner of speech and
actuations in dealing with the public/clientele?

5 Attains exceptional level of achievement.
Accomplishment exceed targets by 15%.
4 Attains level of achievement more than
adequate but fails short by being exceptional.
Accomplishment exceed targets by 10%.
3 Attains level of achievement; meets targets
as planned and exceeds it up to 5%.
5 Gets along easily; always demonstrates
concerns for his/her subordinates; initiates
team effort works and harmonious working
relationships.
4 Generally friendly and helpful to the
concerns of his/her subordinates.
3 Normally friendly at times ask supports
and advices from subordinates.
5 Always make all the way to make
people comfortable and satisfied even
pressure and occupied with work.
4 Usually goes out of the way even when
occupied with work in giving assistance
to the public.
3 Normally goes out of the way and
assist the public.

Signature of Evaluator: ___________________________________

Name of Evaluator: ______________________________________
Position of Evaluator: _____________________________________
 Republic of the Philippines
NORTHWEST SAMAR STATE UNIVERSITY
Main Campus, Calbayog City
INFRASTRUCTURE PROJECT MANAGEMENT COMMITTEE PERFORMANCE EVALUATION

SUPERVISOR EVALUATION FORM

Name of Supervisor:_______________________________ Present Position: ______________________________________________ Rating Period: _______________________

Instruction:
5. This form is used for evaluating your own performance in this rating period. Please use pen or ballpen in accomplishing this form.
6. Please observe fairness and objectivity when rating your supervisor.
7. In rating your supervisor, encircle the number that most objectively represents his/her level of performance guided by the definitions of rating for each factor.
Please use the scale shown. 5 – Outstanding 4 – Very Satisfactory 3 – Satisfactory
8. After accomplishing this form, please affix your signature in the space provided for and submit it to the higher supervisor.

ACCOMPLISHMENT OF WORK (70%) SUBORDINATE RELATIONS (15%) COURTESY & PUBLIC RELATIONS (15%)
How would you assess your overall performance of your Please rate your supervisor in manner by which In your observations, how would you rate your
supervisor in achieving his/her targets? he/she relates to you and other subordinates. supervisor’s behavior, manner of speech and
actuations in dealing with the public/clientele?

5 Attains exceptional level of achievement.
Accomplishment exceed targets by 15%.
4 Attains level of achievement more than
adequate but fails short by being exceptional.
Accomplishment exceed targets by 10%.
3 Attains level of achievement; meets targets
as planned and exceeds it up to 5%.
5 Gets along easily; always demonstrates
concerns for his/her subordinates; initiates
team effort works and harmonious working
relationships.
4 Generally friendly and helpful to the
concerns of his/her subordinates.
3 Normally friendly at times ask supports
and advices from subordinates.
5 Always make all the way to make
people comfortable and satisfied even
pressure and occupied with work.
4 Usually goes out of the way even when
occupied with work in giving assistance
to the public.
3 Normally goes out of the way and
assist the public.

Signature of Evaluator: ___________________________________

Name of Evaluator: ______________________________________
Position of Evaluator: _____________________________________