NAH Employee Self-Evaluation Form
This self-assessment form will assist us to evaluate your performance within our animal hospital group. Your personal critique, along with our evaluation of your role, will serve as the basis for our upcoming annual review discussions.
Name
:
Today's Date
:
MM
/
DD
/
YYYY
Job Title
:
Please select
CSR
Veterinary Assistant
Veterinary Technician
CVT
Tech Lead
CSR Lead
Marketing Coordinator
Hospital Manager
Please select
Home Hospital Location
:
Please select
39th Avenue/Holistic
Newberry
Main Street
Springhill
Please select
Length of Time in Position
:
For each of the
10 work factors
below, rate yourself excellent, good, average, fair or poor, using these rating definitions:
Excellent
: I am unquestionably above acceptable employee standards and my performance consistently exceeds job requirements.
Good
: I am above average acceptable employee standards and that my performance usually exceeds job requirements.
Average
: I meet acceptable employee standards and that my performance of job requirements is consistent.
Fair
: I must improve to meet acceptable employee standards and that my performance of job requirements is inconsistent.
Poor
: I am definitely below acceptable employee standards and that my performance of job requirements is consistently deficient.
Excellent
Good
Average
Fair
Poor
1. Job Knowledge - How well I understand the fundamental skills, methods, and procedures required in my present job
2. Quality - The accuracy and completeness of my work
3. Quantity - The amount of work I produce in my work day and the ability to multi-task
4. Attendance - My punctuality, conforming to work hours, participating in employee events, and maintaining an acceptable attendance record
5. Creativity - My ability to find new and better ways of doing things and to be imaginative
6. Interpersonal Relationships - My willingness and ability to cooperate and communicate with my co-workers, supervisors, doctors, and clients
7. Performance Under Pressure - My ability to withstand pressure and to remain calm in crisis situations
8. Policy Adherence - How well I follow company rules and regulations
9. Client Communication - My ability to educate clients, and make clients and their pets feel welcome and taken care of
10. Overall Evaluation - Comparing myself with other employees with the same length of service in my present job
This is what I can do to improve my job performance:
This is how Newberry Animal Hospital Group can help me improve my job performance:
Employee email address to receive a copy of this completed form:
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