Hazen Annual Review
Email
(Required)
Please type your name and department in the space below
(Required)
Level of effort
Level of effort you contribute on a daily basis
(Required)
Poor
Fair
Satisfactory
Very good
Exellent
Rate the following aspects of your job
Working conditions
(Required)
Poor
Fair
Satisfactory
Very good
Exellent
Supervision
(Required)
Poor
Fair
Satisfactory
Very good
Exellent
Pay
(Required)
Poor
Fair
Satisfactory
Very good
Exellent
Co-Workers
(Required)
Poor
Fair
Satisfactory
Very good
Exellent
Work Schedule
(Required)
Poor
Fair
Satisfactory
Very good
Exellent
Promotional opportunities
(Required)
Poor
Fair
Satisfactory
Very good
Exellent
Training opportunities
(Required)
Poor
Fair
Satisfactory
Very good
Exellent
Benefits
(Required)
Poor
Fair
Satisfactory
Very good
Exellent
Employee performance self-assessment
Quantity of work: Meets deadlines and output expectations
Exceptional (Employee far exceeds requirements and expectations)
Outstanding (Employee regularly exceeds the requirements of the job)
Good (Employee meets all job requirements and may exceed them at times)
Needs training (Employee needs additional training or other development to meet job requirements)
Inadequate (Employee has consistently been unable to do the job)
Quality of work: Produces acceptable output and results
Exceptional (Employee far exceeds requirements and expectations)
Outstanding (Employee regularly exceeds the requirements of the job)
Good (Employee meets all job requirements and may exceed them at times)
Needs training (Employee needs additional training or other development to meet job requirements)
Inadequate (Employee has consistently been unable to do the job)
Job knowledge: Understands duties and has required skills
Exceptional (Employee far exceeds requirements and expectations)
Outstanding (Employee regularly exceeds the requirements of the job)
Good (Employee meets all job requirements and may exceed them at times)
Needs training (Employee needs additional training or other development to meet job requirements)
Inadequate (Employee has consistently been unable to do the job)
Initiative: Begins and completes assignments independently
Exceptional (Employee far exceeds requirements and expectations)
Outstanding (Employee regularly exceeds the requirements of the job)
Good (Employee meets all job requirements and may exceed them at times)
Needs training (Employee needs additional training or other development to meet job requirements)
Inadequate (Employee has consistently been unable to do the job)
Dependability: Reliably completes assignments and responsibilities
Exceptional (Employee far exceeds requirements and expectations)
Outstanding (Employee regularly exceeds the requirements of the job)
Good (Employee meets all job requirements and may exceed them at times)
Needs training (Employee needs additional training or other development to meet job requirements)
Inadequate (Employee has consistently been unable to do the job)
Adaptability: Accepts and understands new methods and approaches
Exceptional (Employee far exceeds requirements and expectations)
Outstanding (Employee regularly exceeds the requirements of the job)
Good (Employee meets all job requirements and may exceed them at times)
Needs training (Employee needs additional training or other development to meet job requirements)
Inadequate (Employee has consistently been unable to do the job)
Customer service: Respectfully interacts with colleagues, customers, carriers, and vendors
Exceptional (Employee far exceeds requirements and expectations)
Outstanding (Employee regularly exceeds the requirements of the job)
Good (Employee meets all job requirements and may exceed them at times)
Needs training (Employee needs additional training or other development to meet job requirements)
Inadequate (Employee has consistently been unable to do the job)
Problem solving: Evaluates situations as they arise and works toward appropriate solutions
Exceptional (Employee far exceeds requirements and expectations)
Outstanding (Employee regularly exceeds the requirements of the job)
Good (Employee meets all job requirements and may exceed them at times)
Needs training (Employee needs additional training or other development to meet job requirements)
Inadequate (Employee has consistently been unable to do the job)
What tasks do you do now that you feel are a waste of time, or that someone else could do better?
(Required)
What aspect of your job is the most difficult and why?
(Required)
What equipment/service/tool could you use to do your job more efficiently?
(Required)
What would you change or eliminate in your department to make the job run more smoothly?
(Required)
Is there anything else you would like to discuss during your review?
(Required)
Send me a copy of my responses.
Yes
No