Performance Feedback Form

Review Interval
3-month 5-month End Employment Other:
Name (Last, First, Middle) Date
Sayco, Filipina 07/07/2023
Position Area
Promoter Nueva Ecija
Check the box which most adequately describes overall performance.
EVALUATION FACTORS Strongly Disagree Slightly Slightly Agree Strongly
Disagree
Disagree Agree Agree
Job Knowledge
The extent the PCN employee knows and
understands the nature and details of his
assigned job and related duties
Technical Skills
The extent and level of the PCN employee’s
abilities to perform his assigned job and
related duties and his abilities to do his job
within time schedule
Quantity of Work Output
The amount of acceptable work
accomplished
Quality of Work Output
The extent or the degree the work done
meets standards (e.g. substance, accuracy,
completeness, orderliness or neatness of job
performance)
Dependability
The degree to which the PCN employee can
be depended on the job to carry out
instructions, fulfill responsibilities
Attendance and Punctuality
The PCN employee’s record of punctuality at
work, absenteeism & tardiness and his
attitude & feelings toward time lost
Industriousness
The extent to which the PCN employee may
be described as conscientious worker and the
amount of concentration and effort exerted
in the performance of his job
Work Attitude
The extent by which an PCN employee
manifests his interest and pride in his job
Ability to Get Along
The extent of his cooperation with others
including his ability to act jointly with superiors
and/or managers in accomplishing tasks
Personality
The PCN employee’s effect on others as a
result of the totality of his personal and social
traits, such as disposition, tact, enthusiasm,
appearance, conduct, etc.
Honesty and Integrity
The degree to which the PCN employee can
be appraised to be honest, loyal & trustworthy
Overall Feedback

Promoter has a good work attitude however, as time goes by her performance declined from A to D.

Overall Results of Review

Contributor Performance shows consistent achievement toward meeting
established performance expectations.
Below Contributor Performance shows deficiencies which interfere with the attainment of
performance expectations.

Development Plan (Attachments may be added if necessary. Indicate # of attachments here: __

Personal Learning Goals Learning Steps/Resource Needs

Evaluated By: Date:

Michael John Miaga 07/07/2023

Signature: Date: