SURGERY

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CLINICAL
PRE
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APPRAISAL PREPARATION FORM
Name
................................................................
Job Title
..............................................................
Date of Appraisal
..............................................................
1.
What are the main tasks, in order of importance, which you are required
to perform?
2.
What
have you achieved during the last 12 months, and how well did you
do?
3.
(Consider your performance against objectives/plans and in any other
significant areas)
4.
What aspects of your job do you do best?
5.
What aspects of your job do you enjoy m
ost/least?
6.
Which areas of your job performance do you feel could be improved with
the help of either yourself or others?
7.
Are working relationships and/or communications between yourself and
your manager/other members of the team effective or co
uld they be
improved?
8.
Are there any problems outside your control which have reduced your
ability to perform your job?
9.
With regard to your present job, what do you hope to accomplish over the
next 12
months?
10.
What training and developme
nt needs would help you perform your job
more effectively?
11.
Any other comments.