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INSTRUCTIONS
1.

2.
3.

4.

This form is used for evaluating the performance of your peer


in this rating period. Please use pen or ballpen when
accomplishing this
Please observe fairness and objectivity when rating your peer.
In rating your peer, please encircle the box that most
objectively describes his/her attitude and behavior in the
performance of his/her functions. Where 10 is Outstanding, 8 is
Very Satisfactory, 6, is Satisfactory, 4 is Unsatisfactory, 2 is
Poor.
After accomplishing this form, please affix your signature and
submit
this
to
your
immediate
supervisor.

3.

Integrity - Peers adherence to the Code of Conduct & Ethical


Standards and values. Demonstrated ability in the adherence
to a code of moral conduct and values.

10

Always righteous, upright and can be trusted on any matter;


always straight, uncompromising and incorruptible in his daily
dealings.

Consistently sincere in his/her dealings with others; free from


fraud and deception.

Fair and just in dealing with self and others; since in purpose
and deed and unpretentious most of the time.

Insincere, not trustworthy in carrying out duties and


responsibilities; allows him to be used by others in situations,
which may lead to fraud and deception.

FACTORS TO BE RATED

10

Courtesy Peers behavior to be polite, kind manner of


speech and actuation and relations with your and other
publics.
Always goes all the way to make people comfortable
and satisfied even under pressure and occupied with
work; very effective in dealing with people.

Frequently goes out of the way even under pressure and


occupied with work; generally courteous and accommodating.

4.

Usually goes out of the way to assist the public; able to deal
with public and peer although need some advise at times.

10

Occasionally assist the public; at times discourteous;


shows lack of patience in dealing with people.
Oftentimes
complained

discourteous
due
to

and
irritable;
inconsiderate

regularly
attitude.

2.

Human Relations peers integrated concern for people at


work, office clientele, and supervisor-subordinate relationship
into work situations.

10

Very effective in dealing with public. Gets along easily with


other members of the workforce. Has cordial relationship
with subordinates and peers.

Can be relied upon to deal with the public, and is generally


courteous and accommodating.
Has the ability to deal pleasantly with the public, subordinates
and peers.

Resourceful in doing his own job more efficiently, effectively


and productively; takes own initiative, attentive to work;
usually overcomes extra ordinary problems.

Average attitude and interest in his work; performs accordingly


to his job descriptions and responsibilities fairly competent to
handle ordinary problems.

Hardly performs his job description and responsibilities; works


only after consistent prodding.

Stress Tolerance Peers demonstrated


performance under pressure or opposition.

ability

Compliance to office rules and regulations Peers


observance and adherence to existing office policies/rules.

10

Always complies to office rules and reminds others to observe


them

Generally complies to office rules with minimal


.reminders

Occasionally lax in observing office rules and regulations

Regularly reminded of existing office rules and regulation

Ignores and violates office rules and regulations

of

Always calm and shows pleasant disposition; consistently


confident and positive even during stressful conditions at work;
never loses patience and never allows tension and anxiety to
affect workplace (performance in workplace)
Most of the time calm, confident and positive; occasionally
loses emotional control during stressful conditions.

Normally calm, confident and positive; occasionally loses


emotional control during stressful conditions.

Often loses emotional control in dealing with stressful work


situations; often complains about people and situations at
work.

5.

Requires very close coordination; rarely meets deadlines, fails


to find ways out of any difficulties.

Dishonest in any transaction and dealing with others

2
8

Highly creative with new ideas and suggestions that result in


increased effectiveness, efficiency and productivity; has an
ideal outlook and concern to the work and can perfectly solve
problems own initiative, attentive to work, usually overcomes
extra ordinary problems.

6.

10

Has considerable difficulty in dealing with the public. Draws


negative reactions. Often discourteous and irritable.

==============================

1.

Has some difficulty in dealing with the public, occasionally


discourteous except when attending to important or influential
persons.

Cannot handle stress, highly emotional and into violent


arguments with others.
Initiative and Resourcefulness Peers demonstrated ability
to start action, project and performance assigned tasks.

7.

Punctuality and Attendance Peers observed behavior


of coming to office on time as to be present at work to
complete assigned responsibilities.

10

Always within the working area of place of work

Mostly within the working area or place of work

Often times within the working area or place of

Rarely within the working area or place of work

Always not within the working area or place of work

PEF 3

8.

10

Leadership Peers demonstrated ability to influence,


motivate and develop confidence to work as a team
and accomplish assigned task, leading the
organizational unit to achieve his/her goal and
objectives enthusiastically.

Leads subordinate effectively; often gets job done through


teamwork.

Leads subordinates adequately well; usually gets job done.

Seldom exercise leadership over subordinates; seldom gets job


done on time.

Cannot lead subordinates; no teamwork; productivity low; no


balance of task and people concerns.

Has superior ability in data analysis and always arrives at


excellent decisions even on complex problems.

Often make very good and sound decisions based on relevant


information and good data analysis.

Sept. 12 Dec. 31, 2011


________________________________
RATING PERIOD

GLADYS D. BULADACO
_________________________________
NAME OF THE PEER TO BE RATED

Judgment/decision making Peers demonstrated ability to


analyze data, identify issues and problems, make conclusions
based on factual information.

10

FHSIS Data Processor/Encoder


_________________________________
POSITION
_________________________________
NAME AND SIGNATUE OF RATER

Analysis of data and problems normally adequate. Generally


arrives at correct decisions on routine concerns.

Sometimes make bad decisions because of inadequate.


Generally arrives at correct decisions on routine analysis.

Decisions made are often bad because of poor analysis and


judgment; usually refuses to make decision.

DOH- PERFORMANCE EVALUATION SYSTEM


(DOH-PES)
PEER RATER FORM

Leads subordinates exceptionally well; easily achieves high


productivity through teamwork; maintains a good balance of
task and people concern.

9.

COMMENTS AND RECOMMENDATIONS:

_________________________________________
POSITION
_____________________________________
OFFICE/DIVISION

ARD/ Statistics/ FHSIS Unit


CHD- Caraga
_________________________________
OFFICE

PLEASE READ THE INSTRUCTIONS CAREFULLY


BEFORE ACCOMPLISHING THIS FORM

_____________________________
DATE

Note: Factors No. 7 and 8 for Supervisors only