Employee Performance Template
1.
Employee name and title?
Director, Renee Michel
Administrative Assistant II, Angela Moreira
Fire Safety/ Prevention Safety Specialist I, Diana Kerrison
Fire Safety/ Prevention Safety Specialist I, Liangely Guilbe-Perez
Workplace Safety Officer, Jacob Jackson
Radiation Safety Officer, Mario De Vera
Biosafety Specialist, Dan Fry
Biosafety Officer, Melina Kinsey
Chemical Safety and Security Senior Coordinator, Sandra Hick
Environmental Technician, Aaron Young
EHS Health Science Campus Coordinator, Thaismary Morales
Laboratory Safety Specialist, Franco Del Pino
Other (please specify)
2.
Are you one of the following?
Student
Collegue
Faculty
Vendor
Supervisor
Government Agency Official
Staff
Visitor
Other
3.
On a scale from 1 (not at all relevant) to 5 (extremely relevant), please rate how relevant each statement is to your experience with this employee.
1- Not at all relevant
2
3
4
5-Extremely Relevant
I felt that this employee was helpful.
1- Not at all relevant
2
3
4
5-Extremely Relevant
I felt that this employee was respectful.
1- Not at all relevant
2
3
4
5-Extremely Relevant
This employee had a pleasant attitude.
1- Not at all relevant
2
3
4
5-Extremely Relevant
I would call this employee a problem solver.
1- Not at all relevant
2
3
4
5-Extremely Relevant
I felt that this employee has good time management skills.
1- Not at all relevant
2
3
4
5-Extremely Relevant
This employee had a good responsiveness and got to my problem in a timely manner.
1- Not at all relevant
2
3
4
5-Extremely Relevant
4.
Please list any areas where this employee is doing particularly well.
5.
Please list any areas for improvement for this employee.
6.
Please give your overall rating of this employees work on a scale from 1 (low) to 5 (high).
1
2
3
4
5
1
2
3
4
5