Fill in the names of your employees in each column and score them on a scale of 1 to 5 for each of the five

competencies listed. Add up the scores for each emplo

Employee
Name
CRITERIA /
MEASUREMENTS
James Sarah Bruce Sally John Deborah Allison Sandy +

1. Productivity – effectiveness in getting

things done, in relation to time and cost 4 4 4 2 3 2 2 5
requirements +

2. Quality of work – adherence to an

expected standard of result that is a part 4 4 3 4 3 3 3 4
of a job or activity

3. Initiative -- the ability to act without

the help or insistence of others
3 4 3 3 2 3 2 4

4. Teamwork – a cooperative effort by a

group or team to produce a desired 3 3 3 2 3 2 2 5
result

5. Problem solving – process of finding

a way to successfully resolve a difficult 3 4 3 2 2 1 2 5
situation or problem

TOTALS 17 19 16 13 13 11 11 23

5 = Excellent
4 = Good Date:
3 = Average
2 = Needs Improvement Completed By:
1 = Poor
Form created by Stephen Goldberg optimusperformance.ca