DFMC PEER EVALUATION

General Skills - RATE THE FOLLOWING PERSON

EMPLOYEES * 🛈

General Skills (1 = poor, 2 = below average 3 = average as relates to DFMC employees as a whole, 4= above average, 5 = excellent, 6 = unable to evaluate *

	1	2	3	4	5	6
Possesses required skills for job	1	2	3	4	5	6
Understands job requirements per policy and procedure manual	1	2	3	4	5	6
Keeps job skills current	1	2	3	4	5	6
Organizes work to achieve goals	1	2	3	4	5	6
Identifies and solves problems (includes asking for help to do so)	1	2	3	4	5	6
Achieves targeted results/goals of specific job	1	2	3	4	5	6
Communication skills,listens carefully and responds appropriately	1	2	3	4	5	6
Delivers friendly, courteous service to patients	1	2	3	4	5	6
Looks for and makes continuous improvements	1	2	3	4	5	6
Performs with accuracy, thoroughness and effectiveness	1	2	3	4	5	6
Seeks new challenges and increased responsibility	1	2	3	4	5	6
Self Sufficient works through challenges to find answers	1	2	3	4	5	6
Participates in learning and development activities	1	2	3	4	5	6
Accepts responsibility for own actions	1	2	3	4	5	6
Attends work as scheduled-limits time away from job duties that impact peer/team group	1	2	3	4	5	6

Group Skills - PLEASE RATE THE PERSON

Group Skills (1 = poor, 2-below average, 3 = average for DFMC Employees, 4-above average, 5 = excellent) *

	1	2	3	4	5
Is an effective team player	1	2	3	4	5
Works well with others-sees/does what needs to be done	1	2	3	4	5
Willing to enlist others to help solve problems	1	2	3	4	5
Maintains respectful and cooperative working relationships	1	2	3	4	5
Demonstrates respect for individuals in all forms of communication	1	2	3	4	5
Offers assistance/support/encouragement to others	1	2	3	4	5
Willing to share knowledge of technology with team members-trains others effectively	1	2	3	4	5
Handles interpersonal conflicts contructively	1	2	3	4	5
Accomplishes a fair and agreed-upon workload	1	2	3	4	5
Participates in group discussions/learning activities	1	2	3	4	5
Displays a positive attitude	1	2	3	4	5
Positively motivates others	1	2	3	4	5
Constructively uses feedback from peers-puts to use	1	2	3	4	5
Demonstrates a willingness to compromise on team projects	1	2	3	4	5
Is able, in a respectful manner, to hold team members accountable for honoring their work commitments	1	2	3	4	5
Shares work responsibilities with a positive attitude	1	2	3	4	5

Overall, how do you rate this person as an employee of DFMC *

Feedback...

In what way is this employee especially valuable to DFMC. *

What do you think (your opinion) the team can/should/would be nice to do to help enhance this employee's work environment that would bring about a more productive and/or efficient player on our team. *