Peer Employee Evaluation Form

• Department

• Employee Name (To be evaluated)

• Date and Time of Review

  Date

• Employee providing feedback (Optional)

General Question

• Is your coworker always gets in on-time at work?

  Yes

  No

  N/A

• Is your coworker hardworking?

  Yes

  No

  N/A

• Does your coworker possess a positive impact on your environment?

  Yes

  No

  N/A

• Does your coworker meet his/her deadlines?

  Yes

  No

  N/A

• Does your coworker give attention to details?

  Yes

  No

  N/A

• Do you trust your coworker's decision?

  Yes

  No

  N/A

• Is your coworker willing to admit mistakes?

  Yes

  No

  N/A

• Does your coworker take responsibility for his/her mistakes?

  Yes

  No

  N/A

• Does your coworker communicate well with others?

  Yes

  No

  N/A

• Is your coworker willing to adjust on changing priorities?

  Yes

  No

  N/A

• Does your coworker behave professionally?

  Yes

  No

  N/A

• Does your coworker collaborate well with others?

  Yes

  No

  N/A

• Is your coworker effective on his/her job?

  Yes

  No

  N/A

• Does your coworker treat you with respect?

  Yes

  No

  N/A

Assessment

• How do the duties/services performed by this employee interface/interact with your department?

• How do you describe this employee’s ability to work with you and others within your department?

• How receptive is this employee to your requests?

• How would you describe this employee’s personal communication and behavior when interacting with you or your department?

• What recommendations do you have that would assist us in strengthening this working relationship?

Completion

• Evaluated Employee (Full Name and Signature)

  Sign

• Supervisor (Full Name and Signature)

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