EMPLOYEE EVALUATION FORM

NAME: ____________________________ DATE: __________________________

DEPARTMENT: ____________________ JOB TITLE: ______________________
Purpose of this Employee Evaluation:
To take a personal inventory, to pin-point weaknesses and strengths and to outline and
agree upon a practical improvement program. Periodically conducted, these Evaluations
will provide a history of development and progress.
Instructions:
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. (If this form is being used
for self-evaluation, you will be describing yourself.)

Carefully evaluate each of the qualities separately.

Two common mistakes in rating are: (1) A tendency to rate nearly everyone as
"average" on every trait instead of being more critical in judgment. The rater should use
the ends of the scale as well as the middle, and (2) The "Halo Effect," i.e., a tendency to
rate the same individual "excellent" on every trait or "poor" on every trait based on the
overall picture one has of the person being rated. However, each person has strong
points and weak points and these should be indicated on the rating scale.

ACCURACY is the correctness of work duties performed. (Check one)

Makes Careless, Usually Requires little Requires

frequent errors. makes accurate, supervision; is absolute
recurrent makes only exact & precise minimum of
errors. average most of the supervision; is
number of time. almost always
mistakes. accurate.
ALERTNESS is the ability to grasp instructions, to meet challenging conditions and to
solve novel or problem situations. (Check one)

Slow to “catch Requires more Grasps Usually quick Exceptionally

on”. than average instructions to understand keen and alert.
instructions with average and learn.
and ability.
explanations.

CREATIVITY is talent for having new ideas, for finding new and better ways of doing
things and for being imaginative.

Rarely has a Occasionally Has average Frequently Continually

new idea; comes up with imagination; suggests new seeks new and
Unimaginable. a new idea. sometimes has ideas; is very better ways of
new ideas. imaginative. doing things;
extremely
imaginative

FRIENDLINESS is the sociability and warmth which an individual imparts in his attitude
toward customers, other employees, his supervisor and the persons he may supervise.
(Check one)

Very distant Approachable; Warm, friendly; Very sociable Extremely

and aloof. friendly once sociable. and outgoing. sociable;
known by excellent at
others. establishing
good will.
PERSONALITY is an individual's behavior characteristics or his personal suitability for
the job. (Check One)

Personality not Personality Personality Very desirable Outstanding

suited for this questionable satisfactory for personality for personality for
job. for this job. this job. this job. this job.

PERSONAL APPEARANCE is the personal impression an individual makes on others.

(Consider cleanliness, grooming, neatness and appropriateness of dress on the job.)
appearance. dress. (Check one)

Very untidy; Sometimes Generally neat Careful about Unusually well

poor taste in untidy and and clean; personal groomed; very
dress. careless about satisfactory appearance; neat; excellent
personal personal good taste in taste in dress.
appearance. appearance. dress.

PHYSICAL FITNESS is the ability to work consistently and with only moderate fatigue.
(Consider physical alertness and energy.) (Check one)

Tires easily; is Frequently tires Meets physical Energetic; Excellent

weal and frail. and is slow. and energy job seldom tires. health; no
requirements. fatigue.
ATTENDANCE is faithfulness in coming to work daily and conforming to work hours.
(Check one)

Often absent Lax in Usually Very prompt; Always regular

and/or attendance present and on regular in and prompt;
frequently and/or time. attendance. volunteers for
reports for reporting for overtime when
work late. work on time. needed.

HOUSEKEEPING is the orderliness and cleanliness in which an individual keeps his

work area. (Check one)

Disorderly or Some Ordinarily Quite Usually neat,

untidy. tendency to be keeps work conscientious clean and
careless and area fairly about neatness orderly.
untidy. neat. and
cleanliness.

DEPENDABILITY is the ability to do required jobs well with a minimum of supervision.

(Check one)

Requires close Sometimes Usually takes Requires little Requires

supervision; is requires care of supervision; is absolute
unreliable. prompting. necessary reliable. minimum of
tasks and supervision.
completes with
reasonable
promptness.
DRIVE is the desire to attain goals, to achieve. (Check one)

Poorly defined Sets goals too Has average Strives hard; Sets high goals
goals; puts low; puts forth goals and has high desire and strives
forth practically little effort to usually puts to achieve. incessantly to
no effort. achieve. forth effort to reach these.
reach these.

JOB KNOWLEDGE is the information concerning work duties which an individual

should know for a satisfactory job performance. (Check one)

Poorly Lacks Moderately Understands Has complete

informed about knowledge of informed; can all phases of mastery of all
work duties. some phases answer most work. phases of jobs.
of work common
questions.

QUALITY OF WORK is the amount of work an individual does in a work day. (Check
one)

Does not meet Does just Volume of work Very Superior work
minimum enough to get is satisfactory. industrious; production
requirements by. does more record.
than is
required.
STABILITY is the ability to withstand pressure and to remain calm in crisis situations.
(Check one)

Goes “to Occasionally Has average Tolerates most Thrives under

pieces” under “blows up” tolerance for pressure; likes pressure; really
pressure; is under crises; usually crises more enjoys solving
“jumpy” and pressure; is remains calm. than the crises.
nervous. easily irritated. average
person.

COURTESY is the polite attention an individual gives other people. (Check one)

Blunt; Sometimes Agreeable and Always very Inspiring to

discourteous; tactless. pleasant. polite and others in being
antagonistic. willing to help. courteous and
very pleasant.

OVERALL EVALUATION in comparison with other employees with the same length of
service on this job. (Check one)

Definitely Substandard Doing an Definitely Outstanding.

unsatisfactory. but making average job. above
progress. average.
COMMENTS
Major Weak Points
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Major Strong Points
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

Rated by:
____________________________ ___________________________
(Name) (Title)

(If not used as a self-evaluation form, the employee should sign below)

A copy of this Report has been given to me and has been discussed with me.

_____________________________ ______________________
(Employee's Signature) (Date)