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Employee Review Form
Your Name
Employees Name You are Referring to?
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Team Member’s Position
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How effectively do they communicate on a scale of 1-5? (5 being the best!)
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5 is best!
How is their teamwork & attitude towards employees on a scale of 1-5?
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5 is best!
How is their leadership on a scale of 1-5?
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5 is best!
How well do they care for our patients and families on a scale of 1-5?
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5 is best!
Are there any areas where he/she shines that you would like to share?
Are there any areas of concern or areas for growth for him/her that you would like to share?
Any other additional comments?
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