ANNUAL EVALUATION - PN System
EVALUATIONYear: ______Sample 1-855-PNSystemSample 1-855-PNSystemEMPLOYEE EVALUATION SHEET - PROBATION PERIOD / ANNUAL * (circle)Name of Employee: ________________________________________ _______________________________________D ate of Employment: _________________ Position/Title: ________________________________________ ________Immediate Supervisor: ________________________________________ _____________________________________EVA LUATIONITEM DiscussedExceptional SatisfactoryNon-SatisfactoryImprovement NeededPersonal appearance/ Code of conduct/ BehaviorPunctuality/Visits Frequency complianceAttitude to work /Attitude to other workers and staff Acknowledgment/ Contract-Agreement reviewedAttitude-Communication with patients/familyResponsibility, JOB DESCRIPT
EMPLOYEE RESPONSE INPUT (Self Evaluation) (To improve our services to our patients we need your input and concern, please fil out the following form, and
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