Please take time to complete this form as accurately as possible. Thank you.

Personal details

Full name

Username

PPID No.

Email

Evaluation Date (MM/DD/YYYY)

Rating Scale

Rate yourself using the following scale:

Rate yourself in the following areas.

Rate yourself in the following areas.

	1	2	3	4	5
Verbal - one to one
Verbal - one to many
Communicating instructions
Liaising with customers
Communicating with colleagues
Telephone skills
Written communciation

Assess your basic IT skills

Rate yourself in the following areas.

	1	2	3	4	5
Understanding your job requirements and expectations
I keep up to date with training
I capably operate software and equipment
I follow company rules and policies
I share knowledge with coworkers

Rate yourself in the following areas.

	1	2	3	4	5
I am enthusiastic about daily work
I meet deadlines
I am always present and on time
I am capable of handling multiple tasks at once
I can complete tasks correctly and with accuracy

Rate yourself in the following areas.

	1	2	3	4	5
I treat coworkers with respect
I provide and accept constructive criticism
I willingly work with others
I share team resources
I contribute an appropriate amount of work

Rate yourself the following areas.

	1	2	3	4	5
I take responsibility for my actions
I am capable of working without constant supervision
I make sound decisions
I remain calm and effective in high pressure situations
I motivate coworkers to achieve goals

Do you think you should be considered for promotion?

Yes

No

N/A

Additional Comments

Thank you for taking the time to complete this evaluation.

	1	2	3	4	5
Able to use Microsoft Word
Able to use Microsoft Excel
Able to use Microsoft Powerpoint
General ability to use software

	1	2	3	4	5
Arriving and leaving place of work
Arriving for pre scheduled meetings


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