Performance Appraisal Report
Confidential
Employee Name
Performance Period
From
Date
Position Title
To
Date of Employment
1. Quality Of Work Consider work standards, accuracy, neatness, skill, thoroughness, and organizational
skills.
Exceeds
Performance Standards
Fully Meets
Performance Standards
Meets Performance
Standards With
Development Needs
Does Not Meet
Performance Standards
Examples: ___________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
2.
Volume Of Work Consider the volume of work accomplished and ability to meet schedules, under
normal and stressful conditions.
Exceeds
Performance Standards
Fully Meets
Performance Standards
Meets Performance
Standards With
Development Needs
Does Not Meet
Performance Standards
Examples: ___________________________________________________________________________________
_____________________________________________________________________________________________
____________________________________________________________________________________
3. Job Knowledge And Skill Consider understanding of job duties and responsibilities, ability to acquire
necessary skills, ability to perform assigned tasks and utilization of work experience.
Exceeds
Performance Standards
Fully Meets
Performance Standards
Meets Performance
Standards With
Development Needs
Does Not Meet
Performance Standards
Examples: ___________________________________________________________________________________
_____________________________________________________________________________________________
___________________________________________________________________________________
4. Judgment Consider ability to evaluate information and arrive at sound conclusions, ability to perceive
and decide a course of action when a number of options are available.
Exceeds
Performance Standards
Fully Meets
Performance Standards
Meets Performance
Standards With
Development Needs
Does Not Meet
Performance Standards
Examples: ___________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
5. Adaptability Consider ability to meet changing conditions and situations, ability to learn new skills.
Exceeds
Performance Standards
Fully Meets
Performance Standards
Meets Performance
Standards With
Development Needs
Does Not Meet
Performance Standards
Examples: ___________________________________________________________________________________
_____________________________________________________________________________________________
___________________________________________________________________________________
6. Attitude Consider cooperation with supervisor and co-workers; receptiveness to suggestions and
constructive criticisms, attitude toward company; enthusiasm in attempts to improve performance.
Exceeds
Performance Standards
Fully Meets
Performance Standards
Meets Performance
Standards With
Development Needs
Does Not Meet
Performance Standards
Examples: ___________________________________________________________________________________
_____________________________________________________________________________________________
___________________________________________________________________________________
7. Team Work Consider ability to inspire teamwork, work well with others and enthusiasm to work towards
a common objective.
Exceeds
Performance Standards
Fully Meets
Performance Standards
Meets Performance
Standards With
Development Needs
Does Not Meet
Performance Standards
Examples: ___________________________________________________________________________________
_____________________________________________________________________________________________
___________________________________________________________________________________
8. Leadership Consider desire to initiate action, assume responsibility, ability to inspire others to work
toward a common goal and to follow through to achieve the goal.
Exceeds
Performance Standards
Fully Meets
Performance Standards
Meets Performance
Standards With
Development Needs
Does Not Meet
Performance Standards
Examples: ___________________________________________________________________________________
_____________________________________________________________________________________________
___________________________________________________________________________________
9. Adding Value To Our Clients Consider client response to work performed, observed interactions with
clients, proactive development of client relationships.
Exceeds
Performance Standards
Fully Meets
Performance Standards
Meets Performance
Standards With
Development Needs
Does Not Meet
Performance Standards
Examples: ___________________________________________________________________________________
_____________________________________________________________________________________________
___________________________________________________________________________________
10. Adding Value To Our Company Consider actions that contribute to the overall success of the
company, demonstrations of support for company values and contribution to the community at large.
Exceeds
Performance Standards
Fully Meets
Performance Standards
Meets Performance
Standards With
Development Needs
Does Not Meet
Performance Standards
Examples: ___________________________________________________________________________________
_____________________________________________________________________________________________
___________________________________________________________________________________
Employees Self Assessment and Comments:
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
Action Plan
Overall Effectiveness Check the rating which most nearly describes current performance overall.
Exceeds
Performance Standards
Fully Meets
Performance Standards
Meets Performance Standards
With Development Needs
Does Not Meet
Performance
Standards
What are the greatest strengths of this employee? ____________________________________________
_________________________________________________________________________________________
What aspects of performance, if not improved, might hinder future development? _________________
_________________________________________________________________________________________
Describe specific plans you and the employee have made to further develop the employee and improve work
performance.
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
Evaluated by: _____________________Title: ____________________ Date: _________________
Approved: ________________________Title: ____________________ Date: _________________
Employees Comments and Signature: _______________________________________________
(Signature does not necessarily indicate agreement)
Title: _____________________ Date: _________________
Place the original completed form in the employees Employment file. Be sure the employee receives a copy.
