Performance Appraisal Form

Name

Date of Evaluation

Evaluated By

Performance Ratings

Need Improvements - Meets Above Consistently

1 Expectations - 2 Expectations - 3 Exceeds

Expectations - 4

Achieves goal that is Achieves the Consistently Consistently

below expectations majority of the set meets or often exceeds the set

goals and other exceeds set goals goals and other

responsibilities and other responsibilities

responsibilities

Ratings Score

Responsibility Weight (1,2,3,4)

Understanding of Work – Measures the

employee's proficiency level and the

familiarity of all segments of the job

Communications Skills - Measures the

ability to communicate or express ideas

orally and in writing, also the ability to relay

or transfer pertinent and accurate

information in manner that is timely and

respectful to superiors, co-workers and

customers.

Teamwork - Measures how well the

individual interacts

with fellow employees, and shows a

cooperative spirit.

Problem Solving – Measures effectiveness

in evaluating problems and making timely,

practical solutions.

Perseverance and hard work - Measures

the commitment to maintain the set priorities

in order to achieve of organizational goals

and objectives

Willingness to learn – Measures the

willingness to learn or take on new

assignments and task that may be ask from

time to time

Punctuality – Measure the ability to adhere

to the organization’s policies governing the

following:

 Attendance
  Number of allowed Tardiness

 Filling of Leaves

Independence - Measures effectiveness in

working in an environment with little to no

supervision, the ability to show initiative or

independent action that is of course within

the confines of organization’s rules and

policies.

Following Hygiene procedures – Measure

the degree of compliance to workplace

hygiene that is in line with organizational

policies and legal requirements.

Trustworthiness – measure the level of

honesty when handing the following

 Cash register

 Store stocks

 Store Equipment

 Other business resources

Handling Changes and Improvements –

Measures the level of adaptability to change

and improvements that the organization will

be introduced to replace old and obsolete

methods, policies or practices.

Customer Receptiveness - Measures

responsiveness when dealing with a

customer, evaluates the level of courtesy

and willingness to assist the customer or at

times even to educate the customer on

company products or promos.

Dress Code / Personal Appearance -

Measures the ability to adhere to the

organization’s prescribe dress code,

neatness and personal hygienic policies.

Employee Dependability - Measures how

well employee complies with instructions

and company policies. How well he/she

performs under unusual circumstances

Workplace Safety - Measures individual's

work habits and attitudes that directly affects

workplace safety and proper equipment

handling, as well as their contribution to

furthering workplace safety and cleanliness.

Employee's Response time - Measures

the employees turnaround time in

completing tasks or resolving an issue that

is governed by the organization’s policies or

SLA

Final Score

Strengths and Accomplishments

Areas of Improvement

Employee Comments

Evaluator’s Recommendation
Signatures over Printed Name

Employee Date Signed

Evaluated By Date Signed

Review By Date Signed