COMPANY REVIEW: Filled out by the Employee

Employee: ______________________________________   Date: ______________

Employee to fill out the first part.      Employer to fill out 2nd part

Part 1

  1. What are some of the highlights of working here?

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  1. What do you hope to accomplish over the coming year?

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  1. What position at the company do you want to move to next?

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  1. Where do you feel there’s room for you to improve?

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  1. Do you feel that the team is working well collaboratively?

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  1. What do you think are the main drivers of success in the shop?

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  1. Are you comfortable with our corporate culture, and are there areas that need improvement?

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  1. Do you have everything you need to perform your job?

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  1. Where has management helped and hindered your work?

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  1. Do you have any questions related to your work here and your future goals at the company?

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  1. How do you think the workflow is? 

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  1. How’s the communication in the shop?

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  1. Are the shop procedures clear enough to follow?

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Part 2

EMPLOYEE REVIEW: Filled out by the Employer

Employee: _________________________   Date: ______________

Rate and comment if applicable

Poor – 1     Fair – 2    Satisfactory – 3     Good – 4     Excellent – 5

1: Works to full potential: Rate ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

2: Work Consistency: Rate ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

3: How is the employee on Accepting of new ideas, learning new  things: Rate

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4: On time for work: Rate

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5: Attendance: Rate

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6: Get along, work well with other staff: Rate

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7: Customer friendly: Rate

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8: Work safely: Rate

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9: Amount of assistance needed from other staff: Rate

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10: Following instructions: Rate

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11: Technical skill/knowledge: Rate

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12: Overall appearance: Rate

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13: Work quality: Rate

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14: Work efficiency: Rate

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  1. Communication skills: Rate

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  1. Can work independently: Rate

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  1. Can work as a Team: Rate

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  1. Take Initiative: Rate

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  1. Dependable: Rate

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     21. Management comments: Rate

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   22. Other Employee feedback: Rate

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Signed: Employee: _______________________________________ Reviewer: ________________________________________

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