Performance Evaluation 2011

Agency Competencies

Conflict Resolution - 10%

1 Encourages open communication Confronts difficult situations Maintains objectivity Keeps emotions under control Uses negotiation skills to resolve conflict Notes: 2 3 4 5

Customer Service - 10%

1 Displays courtesy and sensitivity Manages difficult or emotional customer situations Meets commitments Responds promptly to customer needs Solicit customer feedback to improve service Notes: 2 3 4 5

Attendance and Punctuality - 10%

1 Schedules time off in advance Begins work on time Keeps absences within guidelines Ensure work responsibilities are covered when absent Arrives at meetings and appointments on time Notes: 2 3

Job Knowledge - 10%

1 Competent in required job skills and knowledge Exhibits ability to learn and apply new skills Keeps abreast of current developments Requires minimal supervision Displays understanding of how job relates to others Uses resources effectively Notes: 2 3 4 5

Organization Support - 10%

1 Follows polices and procedures Supports and respects diversity Supports organization's goals, values and mission Committed to doing the best job possible Looks for ways to improve and promote quality Demonstrates ability to make decisions based on clinical considerations Notes: 2 3 4 5

Performance Evaluation
Summary
Summary:

Reviewer's Signature
Employee's Comments:

Date

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Employee's Signature

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