Your Name Your Email date br>Job ComponentsKnowledge of job required for position: (required)OutstandingVery GoodGoodBelow AverageUnsatisfactory br>Ability to produce high quality work in a timely and efficient manner: (required)OutstandingVery GoodGoodBelow AverageUnsatisfactory br>Takes responsibility for assigned work: (required)OutstandingVery GoodGoodBelow AverageUnsatisfactory br>Uses good judgment in decision making: (required)OutstandingVery GoodGoodBelow AverageUnsatisfactory br>Ability to make on job decisions: (required)OutstandingVery GoodGoodBelow AverageUnsatisfactory br>What is the toughest part of your job? (please explain; required) br>What areas of your job do you not enjoy? (please explain; required) br>Please list the best attributes you apply to the company: (please explain; required) br>Goals & Professional DevelopmentWhat role do you want in the company over the next 3 years? (please explain; required) br>What are you actively doing to help achieve these goals? (please explain; required) br>What resources can the company do to help you achieve these goals? (please explain; required) br>What goals did you accomplish since your last evaluation? (please explain if applicable) br>What goals were you unable to accomplish and what hindered you from achieving them? (please explain if applicable) br>What personal goals do you hope to achieve within 3 years? (please explain; required) br>My biggest day to day challenge with the company is? (please explain; required) br>I actively recognize and act on opportunities for improvement: (required)OutstandingVery GoodGoodBelow AverageUnsatisfactory br>Communication & LeadershipMy overall attitude in the work place is: (required)OutstandingVery GoodGoodBelow AverageUnsatisfactory br>My ability to communicate in a friendly, courteous manner towards others in the workplace is: (required)OutstandingVery GoodGoodBelow AverageUnsatisfactory br>I am aware of the impact that my behavior may have on others: (required)OutstandingVery GoodGoodBelow AverageUnsatisfactory br>I maintain a positive attitude while preforming tasks: (required)OutstandingVery GoodGoodBelow AverageUnsatisfactory br>I am adaptable to new people, new situations, new information and new developments: (required)OutstandingVery GoodGoodBelow AverageUnsatisfactory br>How much did you improve since your last evaluation?OutstandingVery GoodGoodBelow AverageUnsatisfactory br>What changes did you make to help make improvements? (please explain) br>I am easy to approach and consistently treat everyone with dignity, respect and fairness: (required)OutstandingVery GoodGoodBelow AverageUnsatisfactory br>Punctuality: (required)OutstandingVery GoodGoodBelow AverageUnsatisfactory br>Based on YOUR personal satisfaction with your job (workload, environment, pay, challenge, etc.), how would you rate your satisfaction from 1 poor to 10 excellent? (required)12345678910